Organization Active NPI

Black Hills Center for Healing and Advancement of Psychotherapy PLC

  • Clinical Social Worker
  • Rapid City, SD
National Provider Identifier
1710442017
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLACK HILLS CENTER FOR HEALING AND ADVANCEMENT OF PSYCHOTHERAPY PLC
Practice address
2525 W Main St Ste 303A6
Rapid City, SD 57702-2437
Phone
(605) 440-2287
Fax
(605) 791-2086
NPI assigned
Jan 31, 2019
Last updated
Jan 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Elizabeth Ostolozaga, LCSW-PIPNPI 1194022970
Title
Owner
Phone
(605) 440-2287

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2525 W Main St Ste 303A6
Rapid City, SD 57702-2437

Mailing address

2525 W Main St Ste 303A6
Rapid City, SD 57702-2437
Phone (605) 440-2287

National Provider Directory

National Provider Directory

Locations

2525 W Main St
Ste 303A6
Rapid City, SD 57702
Phone (605) 440-2287

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": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1710442017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 303A6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022437",
            "telephone_number": "605-440-2287",
            "fax_number": "605-791-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 303A6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022437",
            "telephone_number": "605-440-2287",
            "fax_number": "605-791-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS CENTER FOR HEALING AND ADVANCEMENT OF PSYCHOTHERAPY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "OSTOLOZAGA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-440-2287",
        "authorized_official_credential": "LCSW-PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 31, 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.

Verify at the official NPI Registry.