Active NPI
Palecek Therapy and Consulting LLC
- Counselor
- Rapid City, SD
National Provider Identifier
1528699493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- PALECEK THERAPY AND CONSULTING LLC
- Practice address
- 2218 Jackson Blvd Ste 13
Rapid City, SD 57702-3452 - Phone
- (605) 222-4398
- Fax
- (605) 791-0122
- NPI assigned
- Jan 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Palecek, NCC, LPC, QMHP
- Title
- Therapist
- Phone
- (605) 222-4398
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2218 Jackson Blvd Ste 13
Rapid City, SD 57702-3452
Mailing address
2218 Jackson Blvd Ste 13
Rapid City, SD 57702-3452
Phone (605) 467-5847
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-MH30602 | Other | SD | SD BOARD OF EXAMINERS |
| 1528699493 | Other | SD | NPI II |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.therapynotes.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
2218 Jackson Blvd
Ste 13
Rapid City, SD 57702
Phone (605) 519-8744
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Rapid City, SD
- NPI 1811533177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586390400000",
"number": "1528699493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 JACKSON BLVD STE 13",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577023452",
"telephone_number": "605-467-5847",
"fax_number": "605-791-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 JACKSON BLVD STE 13",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577023452",
"telephone_number": "605-222-4398",
"fax_number": "605-791-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALECEK THERAPY AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-30",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A",
"authorized_official_last_name": "PALECEK",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "605-222-4398",
"authorized_official_credential": "NCC, LPC, QMHP"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SD BOARD OF EXAMINERS",
"identifier": "LPC-MH30602",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI II",
"identifier": "1528699493",
"state": "SD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.therapynotes.com",
"affiliation": "N",
"endpointDescription": "Practice Management",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2218 Jackson Blvd Ste 13",
"city": "Rapid City",
"state": "SD",
"country_code": "US",
"postal_code": "577023452",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.