Organization Active NPI

Positive Directions Counseling, Inc

  • Mental Health Counselor
  • Custer, SD
National Provider Identifier
1841568854
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH2193 Issued in SD
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.