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MAHALA FAITH DOUGLAS
NPI 1750064051
Counselor in Rapid City, SD

Active since August 11, 2023PECOS EnrolledAccepts Medicare Assignment
350 ELK ST, RAPID CITY, SD 57701(605) 343-7262 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Aug 16, 2023, Aug 11, 2023 (3 updates tracked since 2023).

About Mahala Faith Douglas NPPES

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

MAHALA FAITH DOUGLAS (NPI 1750064051) is an individual counselor in Rapid City, South Dakota, licensed in South Dakota (20995) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750064051
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMAHALA FAITH DOUGLAS
Location Address350 ELK STRapid City, SD 57701-7351
Mailing Address350 Elk StRapid City, SD 57701-7351 · (605) 343-7262
Phone(605) 343-7262
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 11, 2023
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1750064051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in SD · 20995✔ Licensed in WY · PPC-1371
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
350 ELK ST, Rapid City, SD 57701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mahala Faith Douglas 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.

PECOS PAC ID2264909134
PECOS Enrollment IDI20260428002765
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

JULIE ANN THOMPSON MS
Counselor (Mental Health)
350 ELK ST
RAPID CITY, SD 57701
Meade County (605) 343-7262
LEESA HOUSE
Counselor (Mental Health)
350 ELK ST
RAPID CITY, SD 57701
Meade County (605) 343-7262
KELLY AMBROSI
Case Manager/Care Coordinator
350 ELK ST
RAPID CITY, SD 57701
Meade County (605) 343-7262
RUTH HEISER
Counselor
350 ELK ST
RAPID CITY, SD 57701
Meade County (605) 343-7262
LARA REINECKE LMSW/LCSW
Social Worker (Clinical)
350 ELK ST
RAPID CITY, SD 57701
Meade County (605) 343-7262
JAROD SKVICALO
Counselor
350 ELK ST
RAPID CITY, SD 57701
Meade County (605) 343-0650
SAVANNA DUDLEY
Counselor (Mental Health)
350 ELK ST
RAPID CITY, SD 57701
Meade County (605) 343-7262
MELISSA L STANTON BA
Counselor (Mental Health)
350 ELK ST
RAPID CITY, SD 57701
Meade County (605) 343-7262

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 Mahala Douglas's NPI number?

The NPI number for Mahala Douglas is 1750064051. It was assigned to this individual provider in the NPPES registry on August 11, 2023.

Where is Mahala Douglas located?

Mahala Douglas practices at 350 Elk St, Rapid City, SD 57701. The listed phone number is (605) 343-7262.

What is Mahala Douglas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mahala Douglas enrolled in Medicare?

Yes. Mahala Douglas 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.

When was this NPI record last updated?

The NPPES record for Mahala Douglas was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.