Organization Active NPI

Palecek Therapy and Consulting LLC

  • Counselor
  • Rapid City, SD
National Provider Identifier
1528699493
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Apr 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Palecek, NCC, LPC, QMHPNPI 1811533177
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)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
LPC-MH30602OtherSDSD BOARD OF EXAMINERS
1528699493OtherSDNPI II

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.therapynotes.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.