Audra Malcomb Consulting Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2125 Issued in SD

Legal business name

AUDRA MALCOMB CONSULTING INC

Practice address

1929 Red Dale Dr
Rapid City, SD 57702-3231

Phone

(605) 381-0049

NPI assigned

Sep 6, 2012

Last updated

Sep 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Audra Malcomb, MSW/CSW-PIP

Title

President/Ceo

Phone

(605) 381-0049

Specialties & licenses 1

Addresses

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.

• Audra Hill, MSW/CSW-PIP

  • Clinical Social Worker
  • Rapid City, SD
  • NPI 1043438658
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1851640718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 RED DALE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023231",
            "telephone_number": "605-381-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 RED DALE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023231",
            "telephone_number": "605-381-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDRA MALCOMB CONSULTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "MALCOMB",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-381-0049",
        "authorized_official_credential": "MSW/CSW-PIP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SD",
            "license": "2125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Community/Behavioral Health Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.