Grace Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GRACE COUNSELING, LLC

Doing business as

Spearfish Counseling

Practice address

1320 North Ave
Spearfish, SD 57783-1525

Phone

(605) 644-7494

Fax

(605) 644-7356

NPI assigned

Jun 23, 2020

Last updated

Jul 20, 2021By 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

Sheri Short, MSW, CSW-PIPNPI 1023070844

Title

Sole Owner

Phone

(605) 644-7511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spearfish Counseling Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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.

• Sheri Carolyn Short, CSW-PIP

  • Clinical Social Worker
  • Spearfish, SD
  • NPI 1023070844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1902422116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831525",
            "telephone_number": "605-644-7494",
            "fax_number": "605-644-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831525",
            "telephone_number": "605-644-7494",
            "fax_number": "605-644-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2021-07-20",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "605-644-7511",
        "authorized_official_credential": "MSW, CSW-PIP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023070844",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.spearfishcounselingservices.com",
            "affiliation": "N",
            "address_1": "1320 North Ave",
            "city": "Spearfish",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577831525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Spearfish Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spearfish Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Warren Golliher, MD
• Rebecca Gompert-Funk, LPC-MH
• Robert G Goodrich, OD
• Sara Gottlob, CNP
• Kipp A. Gould, DO
• Heather May Graf, PT
• Sydney A Graner, DC
• Scott A Graslie, DDS
• Kerry H Greear, CNP
• Kimberly Kay Greenlee, PT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.