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EDMUND JASON STAMPER LPC-MH, QMHP, NCC
NPI 1790158558
Counselor - Mental Health in Rapid City, SD

Active since November 02, 2015PECOS Enrolled
2040 W MAIN ST STE 311, RAPID CITY, SD 57702(605) 600-3733 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2022, Aug 29, 2019 (2 updates tracked since 2019).

About Edmund Jason Stamper Lpc-mh, Qmhp, Ncc NPPES

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

EDMUND JASON STAMPER LPC-MH, QMHP, NCC (NPI 1790158558) is an individual mental health provider in Rapid City, South Dakota, licensed in South Dakota (LPC-MH30513) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rapid City, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790158558
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEDMUND JASON STAMPERCredential: LPC-MH, QMHP, NCC
Location Address2040 W MAIN ST STE 311Rapid City, SD 57702-2447
Mailing Address2040 W Main St Ste 311Rapid City, SD 57702-2447 · (605) 600-3733
Phone(605) 600-3733
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 2, 2015
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1790158558 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-MH30513
Also ListedCounselorTaxonomy 101Y00000X · License LPC20325 (SD)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC-MH30513 (SD)
2040 W MAIN ST STE 311, Rapid City, SD 57702
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 North StRapid City, SD 57701-1163 · Phone (605) 343-0650 · Fax (605) 342-3692

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, UnitedHealthcare, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edmund Jason Stamper Lpc-mh, Qmhp, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173910817
PECOS Enrollment IDI20251031002205
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.

Medicare Billing Reassignment

Medicare enrollment records show Edmund Stamper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Branch & Vine LLC
Same address
Mental Health
2040 W MAIN ST, STE 311
Rapid City, SD 57702
  • Reassigned Medicare billing, South Dakota enrollment
NPI 1326798943 (605) 600-3733

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Edmund Stamper's NPI number?

The NPI number for Edmund Stamper is 1790158558. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Edmund Stamper located?

Edmund Stamper practices at 2040 W Main St Ste 311, Rapid City, SD 57702. The listed phone number is (605) 600-3733.

What is Edmund Stamper's specialty?

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

Is Edmund Stamper enrolled in Medicare?

Yes. Edmund Stamper is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edmund Stamper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Stamper reassigns Medicare benefits to Branch & Vine 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 Edmund Stamper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edmund Stamper accept?

Health plans from Avera Health Plans, UnitedHealthcare and Wellmark of South Dakota, Inc. list Edmund Stamper 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 Edmund Stamper was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.