Provider Demographics
NPI:1619281375
Name:DAKOTA HILLS COUNSELING INC.
Entity Type:Organization
Organization Name:DAKOTA HILLS COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:SPELLACY
Authorized Official - Last Name:LEIR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:605-342-0504
Mailing Address - Street 1:24 E NEW YORK ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-1566
Mailing Address - Country:US
Mailing Address - Phone:605-342-0504
Mailing Address - Fax:
Practice Address - Street 1:24 E NEW YORK ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-1566
Practice Address - Country:US
Practice Address - Phone:605-342-0504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD18061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1104892785OtherNPI INDIVIDUAL
4995473OtherBLUE CROSS
SD9233748OtherDAKOTACARE
SD6571042Medicaid
S100250Medicare Oscar/Certification