Organization Active NPI

Roth Counseling

  • Adult Mental Health Clinic/Center
  • Rapid City, SD
National Provider Identifier
1689165383
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LPC-MH2150 Issued in SD
Legal business name
ROTH COUNSELING
Practice address
2218 Jackson Blvd Ste 13
Rapid City, SD 57702-3452
Phone
(605) 430-7149
Fax
(605) 791-0122
NPI assigned
May 29, 2018
Last updated
May 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Shawna M Roth, LPC-MHNPI 1578803433
Title
Mental Health Counselor
Phone
(605) 430-7149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LPC-MH2150 SD Primary

Addresses

Primary practice location

2218 Jackson Blvd Ste 13
Rapid City, SD 57702-3452

Mailing address

3304 Cottonwood St
Rapid City, SD 57702-3428
Phone (605) 430-7149

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1689165383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 COTTONWOOD ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023428",
            "telephone_number": "605-430-7149",
            "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": "605-430-7149",
            "fax_number": "605-791-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "605-430-7149",
        "authorized_official_credential": "LPC-MH"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "SD",
            "license": "LPC-MH2150",
            "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 May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.