Individual provider Active NPI

Richard Scott Wiley, LPC-MH

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1770944498
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH30556 Issued in SD
Practice address
4951 Hansen LN
Rapid City, SD 57703-0147
Phone
(605) 391-3949
NPI assigned
Mar 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH30556 SD Primary
Professional Counselor 101YP2500X LPC7059 SD

Addresses

Primary practice location

4951 Hansen LN
Rapid City, SD 57703-0147

Mailing address

4951 Hansen LN
Rapid City, SD 57703-0147
Phone (605) 391-3949

Other identifiers 1

IdentifierTypeStateIssuer
2018901MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409003241 SD Practitioner - Mental Health Counselor 1850739962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1351 Jolly LN
Rapid City, SD 57703-4763
Phone (605) 484-7089

4951 Hansen LN
Rapid City, SD 57703-0147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC7059SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Practical Christian Counseling, Inc. Mental Health CurrentSince Feb 18, 2024 Accepting new patients

Locations

1351 Jolly Ln
Rapid City, SD 57703
Phone (605) 484-7089

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1770944498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 HANSEN LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577030147",
            "telephone_number": "605-391-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 HANSEN LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577030147",
            "telephone_number": "605-391-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "credential": "LPC-MH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH30556",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC7059",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018901",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.