Organization Active NPI

Harbor Site Counseling and Consulting, LLC

  • Mental Health Counselor
  • Brookings, SD
National Provider Identifier
1841005543
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HARBOR SITE COUNSELING AND CONSULTING, LLC
Practice address
611 Main Ave
Brookings, SD 57006-1424
Phone
(307) 689-5730
Fax
(605) 692-4972
NPI assigned
Feb 10, 2025
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Richard Daniel Kelley, LPC-MH, QMHPNPI 1346882420
Title
Owner
Phone
(605) 692-4970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

611 Main Ave
Brookings, SD 57006-1424

Mailing address

1733 Torrey Pines Dr
Brookings, SD 57006-5418
Phone (307) 689-5730

National Provider Directory

National Provider Directory

Locations

611 Main Ave
Brookings, SD 57006
Phone (307) 689-5730

Practitioners & affiliated clinicians

Practitioners 1

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": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1841005543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 TORREY PINES DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570065418",
            "telephone_number": "307-689-5730",
            "fax_number": "605-692-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MAIN AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061424",
            "telephone_number": "307-689-5730",
            "fax_number": "605-692-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR SITE COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-692-4970",
        "authorized_official_credential": "LPC-MH, QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.