MEDICARE: HEATHER KAY OCHOCKI MA LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	7395	SD
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	19091833	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851847065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER KAY OCHOCKI MA LAC

Provider Business Mailing Address
First Line	:	405 E FAIRLANE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-7207
Country	:	US
Telephone Number	:	605-642-7093
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 E FAIRLANE DR
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-7207
Country	:	US
Telephone Number	:	605-642-7093
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	03/26/2026

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Directions to “ HEATHER KAY OCHOCKI MA LAC” Practice Location

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