Tracy Palecek, NCC, LPC, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-MH30602 Issued in SD

Practice address

2218 Jackson Blvd Ste 13
Rapid City, SD 57702-3452

Phone

(605) 222-4398

Fax

(605) 791-0122

NPI assigned

Nov 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Palecek Therapy and Consulting LLC

  • Counselor
  • Rapid City, SD
  • NPI 1528699493
  NPD Authorized official

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1811533177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 JACKSON BLVD STE 13",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023452",
            "telephone_number": "605-222-4398",
            "fax_number": "605-791-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 JACKSON BLVD STE 13",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023452",
            "telephone_number": "605-222-4398",
            "fax_number": "605-791-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALECEK",
        "first_name": "TRACY",
        "credential": "NCC, LPC, QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC7405",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH30602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton D Oxner, OD
• Nathan Jay Ozuya
• Sophie Mose Page, MSW
• Pain Solutions, LLC
• Palecek Therapy and Consulting LLC
• Nicholas James Palko, LCSW
• Alicia Palmer Hooten, M.D.
• Daniel Scott Palmer, PA-C
• Jaime Palmer, CNP
• John Palmer, DO

• Mental Health Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.