Active NPI
Positive Directions Counseling, Inc
- Mental Health Counselor
- Custer, SD
National Provider Identifier
1841568854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-MH2193
- Legal business name
- POSITIVE DIRECTIONS COUNSELING, INC
- Practice address
- 549 Mount Rushmore Rd Ste 1
Custer, SD 57730-1531 - Phone
- (605) 440-2059
- NPI assigned
- Dec 5, 2011
- Last updated
- Dec 5, 2011
- 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
- Ms. Roxanne R Domek, LPC-MH
- Title
- Mental Health Counselor
- Phone
- (605) 440-2059
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-MH2193 | SD | Primary |
Addresses
Primary practice location
549 Mount Rushmore Rd Ste 1
Custer, SD 57730-1531
Mailing address
PO Box 382
Custer, SD 57730-0382
Phone (605) 440-2059
National Provider Directory
National Provider DirectoryLocations
549 Mount Rushmore Rd
Ste 1
Custer, SD 57730
Phone (605) 440-2059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323043200000",
"number": "1841568854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382",
"city": "CUSTER",
"state": "SD",
"postal_code": "577300382",
"telephone_number": "605-440-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "549 MOUNT RUSHMORE RD STE 1",
"city": "CUSTER",
"state": "SD",
"postal_code": "577301531",
"telephone_number": "605-440-2059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE DIRECTIONS COUNSELING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A",
"authorized_official_last_name": "DOMEK",
"authorized_official_first_name": "ROXANNE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
"authorized_official_telephone_number": "605-440-2059",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC-MH"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC-MH2193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Custer, SD
- Ann Parsells, MA, CCC-SLP
- Nancy Nicole Peterson, LPC-MH
- Pamela Marie Peterson, RN
- Roni Petik, RPT
- Gypsy Petz
- Premier Family Eye Care, PC
- Tiffany E Pullins, FNP
- Regional Health Network Inc (Custer Regional Hospital)
- Regional Health Network Inc (Custer Regional Hospital)
- Regional Health Network Inc (Regional Health Custer Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.