Active NPI
Elizabeth Thorn, LPC-MH LMFT
- Mental Health Counselor
- Rapid City, SD
National Provider Identifier
1679514244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-MH2097
- Practice address
- 1301 West Omaha St
Suite 220
Rapid City, SD 57701 - Phone
- (605) 716-9944
- Fax
- (605) 718-0413
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-MH2097 | SD | |
| Professional Counselor | 101YP2500X | LPC-MH2097 | SD | |
| Marriage & Family Therapist | 106H00000X | LMFT1072 | SD | |
| Mental Health Counselor | 101YM0800X | LPC-MH2097 | SD | Primary |
Addresses
Primary practice location
1301 West Omaha St
Suite 220
Rapid City, SD 57701
Mailing address
1301 West Omaha St
Suite 220
Rapid City, SD 57701
Phone (605) 716-9944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6575740 | Medicaid | SD |
Other names 1
- Liz Jetson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 28, 2025 through Jan 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-MH2097 | SD | MD | Mental Health Counselor |
| LMFT1072 | SD | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thorn-Jetson Corporation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Rapid City, SD
- NPI 1801839428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1679514244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 WEST OMAHA ST",
"address_2": "SUITE 220",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-716-9944",
"fax_number": "605-718-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 WEST OMAHA ST",
"address_2": "SUITE 220",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-716-9944",
"fax_number": "605-718-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LPC-MH LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "SD",
"license": "LPC-MH2097",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "LPC-MH2097",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SD",
"license": "LMFT1072",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC-MH2097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6575740",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LIZ",
"last_name": "JETSON",
"credential": "LPC-MH LMFT",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.