Clegg Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CLEGG COUNSELING LLC

Practice address

611 Dahl Rd Ste 8
Spearfish, SD 57783-2739

Phone

(605) 641-7534

NPI assigned

May 1, 2023

Organization subpart

No

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

Authorized official

Name

Tracie Erin Bren-Clegg, LPC-MHNPI 1528255585

Title

Owner

Phone

(605) 641-7534

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Erin Bren-Clegg, LPC-MH

  • Professional Counselor
  • Spearfish, SD
  • NPI 1528255585

  Mental Health, SD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1992493514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 DAHL RD STE 8",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832739",
            "telephone_number": "605-641-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DAHL RD STE 8",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832739",
            "telephone_number": "605-641-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEGG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BREN-CLEGG",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-641-7534",
        "authorized_official_credential": "LPC-MH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C Cathcart, OT
• Eryn Caudill, OD
• Christi Childers, DO
• Gary Lynn Childers, DO
• Brynn E Christensen
• Michele Marie Clodfelder, MS, LPC-MH
• Sandra D Clooten, CNP
• Rachelle Cockrell
• Kimberly S. Cockrum, MSPT
• Victoria Lee Collins, FNP-BC

• All providers in Spearfish, SD
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.