BLACK HILLS PSYCHOLOGY, LLC
NPI 1811290992
Psychologist - Clinical in Spearfish, SD
About Black Hills Psychology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK HILLS PSYCHOLOGY, LLC (NPI 1811290992) is a healthcare organization registered as a clinical in Spearfish, South Dakota and active in the NPI registry since December 2010. The organization maintains a secondary practice location in Rapid City and lists Shannon Jean Maxwell, Owner, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Black Hills Psychology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Black Hills Psychology, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
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 Black Hills Psychology, LLC's NPI number?
The NPI number for Black Hills Psychology, LLC is 1811290992. It was assigned to this organization in the NPPES registry on December 13, 2010.
Where is Black Hills Psychology, LLC located?
Black Hills Psychology, LLC is located at 115 N 7th St Ste 6, Spearfish, SD 57783. The listed phone number is (605) 645-0100.
What is Black Hills Psychology, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Black Hills Psychology, LLC enrolled in Medicare?
Yes. Black Hills Psychology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Black Hills Psychology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Black Hills Psychology, LLC. A 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 the clinician's services. The largest specialties are Clinical Psychologist (3), Clinical Social Worker (3) and Nurse Practitioner (3). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Black Hills Psychology, LLC accept?
Health plans from Avera Health Plans and Sanford Health Plan list Black Hills Psychology, LLC 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 Black Hills Psychology, LLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Black Hills Psychology, Llc · NPI 1811290992
Clinical organization in Spearfish, South Dakota. Organization record, active in the CMS NPPES registry since December 13, 2010.
## Identity
- **NPI:** 1811290992 (Entity type: Organization)
- **Enumerated:** December 13, 2010
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Shannon Maxwell, OWNER, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 115 N 7TH ST STE 6, Spearfish, SD 57783-2710
- **Phone:** (605) 645-0100 · **Fax:** (605) 717-1009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (3), Clinical Social Worker (3), Nurse Practitioner (3); 4 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2026
- **Other identifiers:** Medicaid 2001655 (SD)
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Source: [NPI Profile](https://npiprofile.com/npi/1811290992) · Data from the CMS NPPES public registry.