Kelley Backous
Individual provider Active NPI Mental Health Counselor · Huron, SD
NPI 1851823918 · NPPES record last updated Mar 29, 2017
Key facts
- NPI
- 1851823918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 357 Kansas Ave SE
Huron, SD 57350-2517 - Phone
- (605) 352-8596
- Fax
- (605) 352-7001
- NPI assigned
- Mar 29, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Service | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
357 Kansas Ave SE
Huron, SD 57350-2517
Mailing address
357 Kansas Ave SE
Huron, SD 57350-2517
Phone (605) 352-8596
Other providers in Huron, SD
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- Brenda Arntzen
- Denny James Austin
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- Jason Lee Barnhard
- Jessica Baum
- Mark Belyea
- Reese Alan Blacker
- Heidi Sue Blue
All providers in Huron, SD · Mental Health Counselor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.