| Northern Hills Counseling Associates Llc | |
|
211 N Main St Ste 203 Spearfish SD 57783-2646 | |
| (605) 641-7534 | |
| (605) 559-0243 |
| Full Name | Northern Hills Counseling Associates Llc |
|---|---|
| Speciality | Counselor |
| Location | 211 N Main St Ste 203, Spearfish, South Dakota |
| Authorized Official Name and Position | Tracie Bren-clegg (MEMBER) |
| Authorized Official Contact | 6056417534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Hills Counseling Associates Llc 211 N Main St Ste 203 Spearfish SD 57783-2646 Ph: (605) 641-7534 | Northern Hills Counseling Associates Llc 211 N Main St Ste 203 Spearfish SD 57783-2646 Ph: (605) 641-7534 |
| NPI Number | 1801569538 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 6002267564 |
|---|---|
| Medicare Enrollment ID | O20240109002005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801569538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Linda Marie Gross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306970553 PECOS PAC ID: 7810348372 Enrollment ID: I20240109002052 |
| Provider Name | Seth Courtney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881228492 PECOS PAC ID: 4486006103 Enrollment ID: I20240118002140 |
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