NPIMap

Organization Active NPI

Community Counseling Service

  • Mental Health Counselor
  • Huron, SD
National Provider Identifier
1932167277
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1 Issued in SD
Legal business name
COMMUNITY COUNSELING SERVICE
Practice address
357 Kansas Ave SE
Huron, SD 57350-2517
Phone
(605) 352-8596
Fax
(605) 352-7001
NPI assigned
May 3, 2006
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Shelly Rotert
Title
Accounts Receivable
Phone
(605) 352-8596

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2 SD
Mental Health Counselor 101YM0800X 1 SD Primary

Addresses

Primary practice location

357 Kansas Ave SE
Huron, SD 57350-2517

Mailing address

357 Kansas Ave SE
Huron, SD 57350-2517
Phone (605) 352-8596

Other identifiers 1

IdentifierTypeStateIssuer
S69975OtherSDGROUP MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000727 SD Part B Supplier - Clinic/Group Practice 9133111875 Receives reassigned benefits from 16 practitioners
Practice locations: Madison, SD; Huron, SD

National Provider Directory

National Provider Directory

Locations

1552 Dakota Ave S
Huron, SD 57350
Phone (605) 352-9498

34 3rd St SE
Huron, SD 57350
Phone (605) 352-5275

357 Kansas Ave SE
Huron, SD 57350
Phone (605) 352-8596

914 NE 3rd St
Madison, SD 57042
Phone (605) 256-9656

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1932167277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502517",
            "telephone_number": "605-352-8596",
            "fax_number": "605-352-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 KANSAS AVE SE",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502517",
            "telephone_number": "605-352-8596",
            "fax_number": "605-352-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "ROTERT",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "605-352-8596"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "2",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "S69975",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huron, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.