MR. MICHAEL EDWARD WHEATON LMFT
NPI 1417384587
Marriage & Family Therapist in Rapid City, SD
About Mr. Michael Edward Wheaton Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL EDWARD WHEATON LMFT (NPI 1417384587) is an individual marriage & family therapist in Rapid City, South Dakota, licensed in South Dakota (LMFT1212) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Custer, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Michael Edward Wheaton Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Michael Wheaton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rapid City, SD 57702
- Reassigned Medicare billing, South Dakota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RAPID CITY, SD 57702
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael Wheaton's NPI number?
The NPI number for Michael Wheaton is 1417384587. It was assigned to this individual provider in the NPPES registry on October 3, 2013.
Where is Michael Wheaton located?
Michael Wheaton practices at 2525 W Main St Ste 214, Rapid City, SD 57702. The listed phone number is (605) 988-8122.
What is Michael Wheaton's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Michael Wheaton enrolled in Medicare?
Yes. Michael Wheaton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Michael Wheaton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Wheaton reassigns Medicare benefits to Journey Counseling Services, LLC (Rapid City, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Wheaton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Wheaton accept?
Health plans from Avera Health Plans, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Michael Wheaton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael Wheaton was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.