Individual provider Active NPI

Colleen Casavan, B.S.

  • Mental Health Counselor
  • Spearfish, SD
National Provider Identifier
1629408182
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
623 Dahl Rd
Spearfish, SD 57783-2782
Phone
(605) 642-2777
Fax
(605) 642-9356
NPI assigned
Nov 20, 2013
Last updated
Nov 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

623 Dahl Rd
Spearfish, SD 57783-2782

Mailing address

350 Elk St
Rapid City, SD 57701-7351
Phone (605) 343-7262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

350 Elk St
Rapid City, SD 57701-7351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
6653SDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Management Systems, Inc. CurrentSince Aug 20, 2024 Accepting new patients

Locations

350 Elk St
Rapid City, SD 57701
Phone (605) 343-0650

623 Dahl Rd
Spearfish, SD 57783
Phone (605) 642-2777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1629408182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ELK ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017351",
            "telephone_number": "605-343-7262",
            "fax_number": "605-343-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 DAHL RD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832782",
            "telephone_number": "605-642-2777",
            "fax_number": "605-642-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAVAN",
        "first_name": "COLLEEN",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

Verify at the official NPI Registry.