Organization Active NPI

Horseplay Productions Healing Center, Inc.

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1841507142
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC1102 Issued in SD
Legal business name
HORSEPLAY PRODUCTIONS HEALING CENTER, INC.
Practice address
1101 E. Philadelphia Street
Rapid City, SD 57701
Phone
(805) 343-1620
Fax
(605) 343-1629
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Mrs. Shari Lynn Bradstream, MS, EAGALA CERTIFIEDNPI 1184916884
Title
Chief Executive Officer
Phone
(605) 343-1620

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 102274 SD
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X LPC1102 SD Primary

Addresses

Primary practice location

1101 E. Philadelphia Street
Rapid City, SD 57701

Mailing address

PO Box 276
Rapid City, SD 57709-0276
Phone (805) 343-1620

National Provider Directory

National Provider Directory

Locations

1101 E Philadelphia St
Rapid City, SD 57701
Phone (605) 343-1620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1841507142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577090276",
            "telephone_number": "805-343-1620",
            "fax_number": "605-343-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E. PHILADELPHIA STREET",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "805-343-1620",
            "fax_number": "605-343-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSEPLAY PRODUCTIONS HEALING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "BRADSTREAM",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "605-343-1620",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, EAGALA CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "SD",
            "license": "102274",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC1102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.