Organization Active NPI

Rooted & Rising Counseling Services LLC

  • Clinical Social Worker
  • Box Elder, SD
National Provider Identifier
1740985688
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROOTED & RISING COUNSELING SERVICES LLC
Practice address
556 Norad Dr
Box Elder, SD 57719-8114
Phone
(605) 702-4731
NPI assigned
Mar 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Authorized official

Name
Stephanie Beard
Title
Mental Health Therapist
Phone
(605) 702-4731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

556 Norad Dr
Box Elder, SD 57719-8114

Mailing address

3213 W Main St # 123
Rapid City, SD 57702-2314
Phone (605) 702-4731

Other identifiers 1

IdentifierTypeStateIssuer
1770167710MedicaidSD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680307200000",
    "number": "1740985688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 W MAIN ST # 123",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022314",
            "telephone_number": "605-702-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 NORAD DR",
            "city": "BOX ELDER",
            "state": "SD",
            "postal_code": "577198114",
            "telephone_number": "605-702-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED & RISING COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "605-702-4731"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770167710",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Box Elder, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; 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.