Individual provider Active NPI

Grant Michael Sasse, PHD, LPC-MH

  • Professional Counselor
  • Rapid City, SD
National Provider Identifier
1881166635
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-MH30785 Issued in SD
Practice address
529 Kansas City St Ste 100
Rapid City, SD 57701-3798
Phone
(605) 348-6086
NPI assigned
Dec 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LIMHP2609 NE
Professional Counselor 101YP2500X LPC2644 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X 1435 NE
Professional Counselor 101YP2500X PCOP881 AK
Professional Counselor 101YP2500X LPC-MH30785 SD Primary

Addresses

Primary practice location

529 Kansas City St Ste 100
Rapid City, SD 57701-3798

Mailing address

1000 Main St
Chadron, NE 69337-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PCOP881AKMDProfessional Counselor
LIMHP2609NEMDProfessional Counselor
LPC2644NEMDProfessional Counselor
LPC-MH30785SDMDProfessional Counselor
1435NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Social Services CurrentSince Sep 1, 2024 Accepting new patients

Locations

529 Kansas City St
Ste 100
Rapid City, SD 57701
Phone (605) 348-6086

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1881166635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAIN ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 KANSAS CITY ST STE 100",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013798",
            "telephone_number": "605-348-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSE",
        "first_name": "GRANT",
        "middle_name": "MICHAEL",
        "credential": "PHD, LPC-MH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "LIMHP2609",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "LPC2644",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1435",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "PCOP881",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC-MH30785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.