Healthcare Provider Details

I. General information

NPI: 1154203412
Provider Name (Legal Business Name): COMPLETE COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 W MAIN ST STE 203
RAPID CITY SD
57702-2446
US

IV. Provider business mailing address

2040 W MAIN ST STE 203
RAPID CITY SD
57702-2446
US

V. Phone/Fax

Practice location:
  • Phone: 605-519-9523
  • Fax:
Mailing address:
  • Phone: 605-519-9523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
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: STACEY STACEY ANDERSON
Title or Position: OWNER/MEMBER
Credential: CSW-PIP
Phone: 605-519-9523