Carol Butzman, LPCMH CCDCIII QMHP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCMH2009 Issued in SD

Practice address

4940 5TH Street
Suite 1B
Rapid City, SD 57701-6026

Phone

(605) 418-4004

Fax

(605) 418-4002

NPI assigned

Mar 9, 2006

Last updated

Jul 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1922076553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 5TH STREET",
            "address_2": "SUITE 1B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016026",
            "telephone_number": "605-418-4004",
            "fax_number": "605-418-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 5TH STREET",
            "address_2": "SUITE 1B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016026",
            "telephone_number": "605-418-4004",
            "fax_number": "605-418-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZMAN",
        "first_name": "CAROL",
        "credential": "LPCMH CCDCIII QMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "CCDCIII",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "ICADC14768",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPCMH2009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4998865",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "NP4273",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY",
            "identifier": "23145",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA",
            "identifier": "23145",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575060",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carleena Larinn Butterick
• Gerald W Butz, M.D.
• John G Butz, MD
• Kirsten A Butz, MD
• Mary Buurma
• Lauren Buyan, DO
• Byrne Dental, Professional LLC
• James Kenneth Byrne, DDS
• Becky J Byrum, MS, NCC

• Professional Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Professional Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.