Active NPI
Abourezk Counseling Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rapid City, SD
National Provider Identifier
1649759853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- LPC-MH2276
- Legal business name
- ABOUREZK COUNSELING SERVICES
- Practice address
- 2218 Jackson Blvd Ste 13
Rapid City, SD 57702-3452 - Phone
- (605) 545-4944
- Fax
- (605) 791-0122
- NPI assigned
- Aug 8, 2018
- Last updated
- Jan 17, 2019
- 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
- Ilyani Lena Abourezk, LPC-MH, QMHP, NCCCAC
- Title
- Owner
- Phone
- (605) 863-2881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LPC-MH2276 | SD | 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) 545-4944
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Rapid City, SD
- NPI 1407195571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547683200000",
"number": "1649759853",
"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": "605-545-4944",
"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": "605-545-4944",
"fax_number": "605-791-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABOUREZK COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-08",
"last_updated": "2019-01-17",
"status": "A",
"authorized_official_last_name": "ABOUREZK",
"authorized_official_first_name": "ILYANI",
"authorized_official_middle_name": "LENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-863-2881",
"authorized_official_credential": "LPC-MH, QMHP, NCCCAC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "SD",
"license": "LPC-MH2276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.