MEDICARE: CRUX COUNSELING, LLC.

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1245115955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRUX COUNSELING, LLC.

Provider Business Mailing Address
First Line	:	3618 CANYON LAKE DR STE 107
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-3129
Country	:	US
Telephone Number	:	915-497-2884
Fax Number	:	605-210-7148

Provider Business Practice Location Address
First Line	:	3618 CANYON LAKE DR STE 107
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-3129
Country	:	US
Telephone Number	:	915-497-2884
Fax Number	:	605-210-7148

Authorized Official
Title or Position	:	COUNSELOR
Name	:	ALLISON RENEE ANDERSON
Credential	:	LPC
Telephone Number	:	915-497-2884

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	03/03/2026

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