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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TINA MARIE WILSON
NPI 1720904477
Counselor - Mental Health in Rapid City, SD

Active since June 26, 2026
2165 PROMISE RD, RAPID CITY, SD 57701(605) 718-1095 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tina Marie Wilson NPPES

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

TINA MARIE WILSON (NPI 1720904477) is an individual mental health provider in Rapid City, South Dakota and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1720904477
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTINA MARIE WILSON
Location Address2165 PROMISE RDRapid City, SD 57701-8981
Mailing Address2165 Promise RdRapid City, SD 57701-8981 · (605) 718-1095
Phone(605) 718-1095
Sole ProprietorNo
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1720904477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2165 PROMISE RD, Rapid City, SD 57701
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Other Providers at the Same Location NPPES 20

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

MR. JOHN RJ NELSON
Counselor (Addiction (Substance Use Disorder))
2165 PROMISE RD
RAPID CITY, SD 57701
Meade County (605) 891-4293
COLETTE DEVRIES RN
Registered Nurse
2165 PROMISE RD
RAPID CITY, SD 57701
Meade County (605) 347-2511
KAREN HUITEMA
Licensed Practical Nurse
2165 PROMISE RD
RAPID CITY, SD 57701
Meade County (605) 718-1095
KELSEY KURTENBACH
Licensed Practical Nurse
2165 PROMISE RD
RAPID CITY, SD 57701
Meade County (605) 718-1095
MEGHAN C FEDELE RN
Registered Nurse
2165 PROMISE RD
RAPID CITY, SD 57701
Meade County (605) 718-1095
PATRICIA ANN STARKEY LPN
Licensed Practical Nurse
2165 PROMISE RD
RAPID CITY, SD 57701
Meade County (605) 718-1098
NICOLE GASTON
Registered Nurse
2165 PROMISE RD
RAPID CITY, SD 57701
Meade County (605) 718-1095
MS. SHANNON MARIE GUTZMER PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2165 PROMISE RD
RAPID CITY, SD 57701
Meade County (605) 718-1095

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 Tina Wilson's NPI number?

The NPI number for Tina Wilson is 1720904477. It was assigned to this individual provider in the NPPES registry on June 26, 2026.

Where is Tina Wilson located?

Tina Wilson practices at 2165 Promise Rd, Rapid City, SD 57701. The listed phone number is (605) 718-1095.

What is Tina Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Tina Wilson was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.