Michelle Ann Obineche, MSW, CSW, ACT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

8122 Issued in SD

Practice address

1205 E Saint James St
Rapid City, SD 57701-3958

Phone

(605) 342-8925

Fax

(605) 718-3022

NPI assigned

Jun 2, 2020

Last updated

Jun 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1760006092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E SAINT JAMES ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013958",
            "telephone_number": "605-342-8925",
            "fax_number": "605-718-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E SAINT JAMES ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013958",
            "telephone_number": "605-342-8925",
            "fax_number": "605-718-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBINECHE",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "MSW, CSW, ACT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "8122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oaye Luta Okolakiciye
• Theodore G Obenchain, MD
• Amanda Rose Oberlander
• Kimberly Oberloh
• Obhg South Dakota PC
• Jocelyn Oblizajek
• Jimi Beth Obretenov
• Heather Kay Ochocki, MA LAC
• Kimberly Ochsner, RN
• Amber Odom

• Addiction (Substance Use Disorder) Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Addiction (Substance Use Disorder) Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.