Active NPI
Black Hills Center for Healing and Advancement of Psychotherapy PLC
- Clinical Social Worker
- Rapid City, SD
National Provider Identifier
1710442017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 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
- Elizabeth Ostolozaga, LCSW-PIP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Rapid City, SD
- NPI 1194022970
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
- Black Hills Anesthesia, Prof. L.L.C.
- Black Hills Audiology LLC
- Black Hills Behavior, LLC (Impact Learning & Development)
- Black Hills Care and Rehabilitation Center LLC (Black Hills Care and Rehabilitation Center)
- Black Hills Caregiving, LLC
- Black Hills Child Psychiatric Services (Black Hills Child Psychiatrc Services)
- Black Hills Dermatology PC (Black Hills Dermatology and Laser Surgery Centre)
- Black Hills Embrace LLC
- Black Hills Healing Arts Inc
- Black Hills Health and Wellness Center of Rapid Ci
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.