Healthcare Provider Details

I. General information

NPI: 1326704214
Provider Name (Legal Business Name): MONARCH COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 W MAIN ST STE 102
RAPID CITY SD
57702-2564
US

IV. Provider business mailing address

1719 W MAIN ST STE 102
RAPID CITY SD
57702-2564
US

V. Phone/Fax

Practice location:
  • Phone: 605-303-6942
  • Fax:
Mailing address:
  • Phone: 605-303-6942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CAITLIN NISSEN
Title or Position: THERAPIST
Credential: LPC MH
Phone: 605-303-6942