Individual provider Active NPI

Kristin Teresa Rock, LPC-MH, QMHP

  • Addiction (Substance Use Disorder) Counselor
  • Rapid City, SD
National Provider Identifier
1629289376
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
04111202 Issued in SD
Practice address
1107 Mount Rushmore Rd
Suite 2
Rapid City, SD 57701-8200
Phone
(605) 737-1308
Fax
(605) 388-8003
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 04111202 SD Primary
Mental Health Counselor 101YM0800X LPC-MH2134 SD

Addresses

Primary practice location

1107 Mount Rushmore Rd
Suite 2
Rapid City, SD 57701-8200

Mailing address

1107 Mount Rushmore Rd
Suite 2
Rapid City, SD 57701-8200
Phone (605) 737-1308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220001227 SD Practitioner - Mental Health Counselor 6002266830 Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2650 Jackson Blvd
Rapid City, SD 57702-3474
Phone (605) 381-9354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04111202SDMDAddiction (Substance Use Disorder) Counselor
LPC-MH2134SDMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629289376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MOUNT RUSHMORE RD",
            "address_2": "SUITE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018200",
            "telephone_number": "605-737-1308",
            "fax_number": "605-388-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MOUNT RUSHMORE RD",
            "address_2": "SUITE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018200",
            "telephone_number": "605-737-1308",
            "fax_number": "605-388-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCK",
        "first_name": "KRISTIN",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "LPC-MH, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "04111202",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.