Scovel Psychological and Counseling Services, LTD
Organization Active NPI Psychologist · Rapid City, SD
NPI 1578744504 · NPPES record last updated Jan 29, 2008
Key facts
- NPI
- 1578744504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- 439 (SD)
- Legal business name
- SCOVEL PSYCHOLOGICAL AND COUNSELING SERVICES, LTD
- Practice address
- 636 Saint Anne St Ste 103
Rapid City, SD 57701-4694 - Phone
- (605) 721-8822
- Fax
- (605) 721-8928
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Kari A Scovel, PHD
- Title
- President
- Phone
- (605) 721-8822
Practitioners 22
-
Valerie Marie Frie, MSW
-
Lindsay Anne Harris, CSW
-
Kimberly Neva Hayes, PSY.D.
-
Peter Bruce Linde, PMHNP-BC
-
Jason Kyle Mitchell, PSYD
-
Kari Ann Scovel Hendrickson, PH.D.
-
Tamara Michelle Ulmer, LPC-MH QMHP
-
Michael E Forgy, LCSW
-
Scott V Sternhagen, PHD
-
Suzanne Darlene Greene, LCSW
-
Shannon Jean Maxwell, PSY.D, LP
-
Stephen S. Greene, PH.D.
-
Adria Hagg, MSW
-
Genni L. Goschke, PSY.D.
-
Michael Huxford, PSYD
-
Tiffany Mooney, LPC-MH, QMHP
-
Kettie Ann Tisher-Farnam, LPC-MH
-
Cooper Lee Timm, M.S.
-
Eric D. Traub, PSY.D.
-
Robin Nicole Wisniewski, PSY.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040520000949 | SD | Part B Supplier - Clinic/Group Practice | 2961493788 |
Receives reassigned benefits from 15 practitioners Practice locations: Rapid City, SD |
National Provider Directory
Locations
2902 W Main St
Ste 2
Rapid City, SD 57702
Phone (605) 721-8822
636 Saint Anne St
Ste 103
Rapid City, SD 57701
Phone (605) 721-8822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | 439 | SD | Yes |
Addresses
Primary practice location
636 Saint Anne St Ste 103
Rapid City, SD 57701-4694
Mailing address
PO Box 387
Rapid City, SD 57709-0387
Phone (605) 721-8822
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6552060 | Medicaid | SD |
Other providers in Rapid City, SD
- Schwietert Chiropractic Clinic, P.C.
- David Arthur Schwietert
- James Wesley Schwietert
- Aiyana Scott
- Kari Ann Scovel Hendrickson
- Jeri L. Scranton-Skyberg
- SD Specialty Dental Services, LLC
- SD Telehealth, PLLC
- Klaire Sealey
- Mariah Sears
All providers in Rapid City, SD · Psychologist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.