Healthcare Provider Details

I. General information

NPI: 1245115955
Provider Name (Legal Business Name): CRUX COUNSELING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3618 CANYON LAKE DR STE 107
RAPID CITY SD
57702-3129
US

IV. Provider business mailing address

3618 CANYON LAKE DR STE 107
RAPID CITY SD
57702-3129
US

V. Phone/Fax

Practice location:
  • Phone: 915-497-2884
  • Fax: 605-210-7148
Mailing address:
  • Phone: 915-497-2884
  • Fax: 605-210-7148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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: ALLISON RENEE ANDERSON
Title or Position: COUNSELOR
Credential: LPC
Phone: 915-497-2884