Individual provider Active NPI

Beverly Dee Dafler, L.P.C.

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1861657207
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH2218 Issued in SD
Practice address
148 Tallent St
Rapid City, SD 57701-5562
Phone
(605) 718-2094
NPI assigned
Jul 24, 2008
Last updated
Nov 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH2218 SD Primary

Addresses

Primary practice location

148 Tallent St
Rapid City, SD 57701-5562

Mailing address

148 Tallent St
Rapid City, SD 57701-5562
Phone (605) 718-2094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116004435 SD Practitioner - Mental Health Counselor 8820440746 Practice locations: Rapid City, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

148 Tallent St
Rapid City, SD 57701-5562

809 S St
Suite 306
Rapid City, SD 57701-3585
Phone (605) 430-9521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-MH2218SDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1861657207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 TALLENT ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015562",
            "telephone_number": "605-718-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 TALLENT ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015562",
            "telephone_number": "605-718-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFLER",
        "first_name": "BEVERLY",
        "middle_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.