NPIMap

Organization Active NPI

Three Rivers Mental Health and Chemical Dependency Center

Doing business as Three Rivers Counseling

  • Mental Health Counselor
  • Lemmon, SD
National Provider Identifier
1811001985
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC1098 Issued in SD
Legal business name
THREE RIVERS MENTAL HEALTH AND CHEMICAL DEPENDENCY CENTER
Doing business as
Three Rivers Counseling
Practice address
11 East 4TH Street
Lemmon, SD 57638-0447
Phone
(605) 374-3862
Fax
(605) 374-3864
NPI assigned
Aug 18, 2006
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Laurie Berg
Title
Billing Manager
Phone
(605) 374-3862

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Nurse Practitioner 363L00000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Mental Health Counselor 101YM0800X 1162 SD
Mental Health Counselor 101YM0800X 1082 SD
Mental Health Counselor 101YM0800X 1948 SD
Mental Health Counselor 101YM0800X LPC1098 SD Primary

Addresses

Primary practice location

11 East 4TH Street
Lemmon, SD 57638-0447

Mailing address

11 East 4TH St.
P.O. Box 447
Lemmon, SD 57638-0447
Phone (605) 374-3862

Other identifiers 3

IdentifierTypeStateIssuer
0003226OtherSDBCBS GROUP PROVIDER #
1234567OtherSDJASON LILLICH
4994184OtherSDMIKKI KENNEDY-HAINES ID#

Other names 1

  • Three Rivers Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240208002045 SD Part B Supplier - Clinic/Group Practice 7315380185 Receives reassigned benefits from 2 practitioners
Practice locations: Lemmon, SD; MC Laughlin, SD; Eagle Butte, SD

National Provider Directory

National Provider Directory

Locations

11 4th St E
Lemmon, SD 57638
Phone (605) 374-3862

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1811001985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAST 4TH ST.",
            "address_2": "P.O. BOX 447",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576380447",
            "telephone_number": "605-374-3862",
            "fax_number": "605-374-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAST 4TH STREET",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576380447",
            "telephone_number": "605-374-3862",
            "fax_number": "605-374-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS MENTAL HEALTH AND CHEMICAL DEPENDENCY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "605-374-3862"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "1162",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "1082",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "1948",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC1098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER #",
            "identifier": "0003226",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JASON LILLICH",
            "identifier": "1234567",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIKKI KENNEDY-HAINES ID#",
            "identifier": "4994184",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Three Rivers Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lemmon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.

Verify at the official NPI Registry.