Active NPI
Northern Hills Counseling Associates LLC
- Professional Counselor
- Spearfish, SD
National Provider Identifier
1801569538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- NORTHERN HILLS COUNSELING ASSOCIATES LLC
- Practice address
- 211 N Main St Ste 203
Spearfish, SD 57783-2646 - Phone
- (605) 641-7534
- Fax
- (605) 559-0243
- NPI assigned
- Jul 28, 2021
- Last updated
- Jul 28, 2021
- 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
- Tracie Bren-Clegg, MA, LPC-MH, QMHP
- Title
- Member
- Phone
- (605) 641-7534
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
211 N Main St Ste 203
Spearfish, SD 57783-2646
Mailing address
211 N Main St Ste 203
Spearfish, SD 57783-2646
Phone (605) 641-7534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Mental Health Counselor
- Spearfish, SD
- NPI 1881228492
-
- Professional Counselor
- Spearfish, SD
- NPI 1528255585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627430400000",
"number": "1801569538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N MAIN ST STE 203",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577832646",
"telephone_number": "605-641-7534",
"fax_number": "605-559-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N MAIN ST STE 203",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577832646",
"telephone_number": "605-641-7534",
"fax_number": "605-559-0243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN HILLS COUNSELING ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-28",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A",
"authorized_official_last_name": "BREN-CLEGG",
"authorized_official_first_name": "TRACIE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "605-641-7534",
"authorized_official_credential": "MA, LPC-MH, QMHP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spearfish, SD
- Kayley Justine Neville
- Erin Catherine Niehaus, APRN
- Caitlin Kay Nissen, MS, NCC
- Northern Hills Chiropractic, P.C.
- Northern Hills Counseling
- Northern Hills Nutrition and Dietetics, LLC
- Northern Hills Psychological Services, LLC
- Northern Hills Training Center, Inc.
- Michelle Elizabeth Novak, NCC
- Nuclear Diagnosis, L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.