Individual provider Active NPI

Nichole Dianne Knepp, NCC, LPC, SW

  • Professional Counselor
  • Rapid City, SD
National Provider Identifier
1912760174
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20766 Issued in SD
Practice address
1330 Jolly LN
Rapid City, SD 57703-4763
Phone
(605) 343-2811
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 20766 SD Primary

Addresses

Primary practice location

1330 Jolly LN
Rapid City, SD 57703-4763

Mailing address

4447 S Canyon Rd Ste 6
Rapid City, SD 57702-1889
Phone (605) 209-8704

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

State licenses

LicenseStateTypeSpecialty
20766SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Home Society of South Dakota CurrentSince Feb 4, 2024 Accepting new patients
Childrens Home Society of South Dakota CurrentSince Feb 4, 2024 Accepting new patients

Locations

1330 Jolly Ln
Rapid City, SD 57703
Phone (605) 343-2811

Organizations & group practices 2

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1912760174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 S CANYON RD STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021889",
            "telephone_number": "605-209-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 JOLLY LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577034763",
            "telephone_number": "605-343-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEPP",
        "first_name": "NICHOLE",
        "middle_name": "DIANNE",
        "credential": "NCC, LPC, SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "20766",
            "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 Jul 9, 2025; 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.