MR. DAVID JETSON LPC - MH
NPI 1598706749
Counselor - Mental Health in Rapid City, SD

Active since June 09, 2006Opted out of Medicare · through Apr 13, 2028
636 SAINT ANNE ST, SUITE 202, RAPID CITY, SD 57701(605) 718-5500(605) 716-9944 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. David Jetson Lpc - Mh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID JETSON LPC - MH (NPI 1598706749) is an individual mental health provider in Rapid City, South Dakota, licensed in South Dakota (LPC-MH2145) and active in the NPI registry since June 2006. He has opted out of Medicare through April 13, 2028.

NPPES Registry Identity

NPI1598706749
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DAVID JETSONCredential: LPC - MH
Location Address636 SAINT ANNE ST, SUITE 202Rapid City, SD 57701-4694
Mailing Address1301 West Omaha St., Suite 220Rapid City, SD 57701-4694 · (605) 718-5500 · Fax (605) 716-0415
Fax(605) 716-9944
Sole ProprietorYes
Enumeration DateJune 9, 2006
Last NPPES UpdateJune 3, 2021
NPPES CertifiedJune 3, 2021
✔ NPI 1598706749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in SD · LPC-MH2145
Also ListedCounselorTaxonomy 101Y00000X · License LPC-MH2145 (SD)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-MH2145 (SD)
636 SAINT ANNE ST, Rapid City, SD 57701

Other Names 1

Other Name (5)Dave Jetson Lpc - Mh

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. David Jetson Lpc - Mh has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 13, 2026 through April 13, 2028.

Opt-Out Effective DateApril 13, 2026
Opt-Out In Effect ThroughApril 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
636 SAINT ANNE ST
RAPID CITY, SD 57701
Nurse Practitioner (Psychiatric/Mental Health)
636 SAINT ANNE ST
RAPID CITY, SD 57701
Psychologist (Clinical)
636 SAINT ANNE ST
RAPID CITY, SD 57701
Social Worker (Clinical)
636 SAINT ANNE ST, SUITE #101
RAPID CITY, SD 57701
Psychiatry & Neurology (Psychiatry)
636 SAINT ANNE ST
RAPID CITY, SD 57701
Nurse Practitioner
636 SAINT ANNE ST
RAPID CITY, SD 57701
Psychiatry & Neurology (Psychiatry)
636 SAINT ANNE ST, STE. 100
RAPID CITY, SD 57701
Nurse Practitioner (Psychiatric/Mental Health)
636 SAINT ANNE ST
RAPID CITY, SD 57701

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 David Jetson's NPI number?

The NPI number for David Jetson is 1598706749. It was assigned to this individual provider in the NPPES registry on June 9, 2006. The provider is also known as Dave Jetson Lpc - Mh.

Where is David Jetson located?

David Jetson practices at 636 Saint Anne St Suite 202, Rapid City, SD 57701. The listed phone number is (605) 718-5500.

What is David Jetson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is David Jetson enrolled in Medicare?

No. David Jetson has opted out of Medicare through April 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does David Jetson accept?

Health plans from Avera Health Plans and Sanford Health Plan list David Jetson 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 David Jetson was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.