Active NPI
Roth Counseling
- Adult Mental Health Clinic/Center
- Rapid City, SD
National Provider Identifier
1689165383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- LPC-MH2150
- 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, 2018
- 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
- Shawna M Roth, LPC-MH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 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
- Aurora, CO
- NPI 1578803433
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.