MR. DUANE J KAVANAUGH (NPI# 1366510141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366510141 |
| Entity Type | Individual |
| Full Name | MR. DUANE J KAVANAUGH |
| Credential | LPCMH,LSWA |
| Practice Address |
2920 Sheridan Lake Rd Rapid City SD 57702-5350 |
| Mailing Address |
4610 Three Rivers Dr Rapid City SD 57701-9604 |
| Practice Telephone | 6053480477 |
| Practice Fax Number | 6054447540 |
| Mailing Telephone | 6053480477 |
| Mailing Fax Number | 6054447540 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2014-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LSWA1015 | SD | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPCMH2004 | SD | Behavioral Health & Social Service Providers |
| Street Address |
2920 SHERIDAN LAKE RD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-5350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144303660 | Alan C Mccoy | Social Worker | 2920 Sheridan Lake Rd, Rapid City, SD 57702-5350 | 2006-10-21 |
| 1831709203 | Megan Laskowski | Counselor | 2920 Sheridan Lake Rd, Rapid City, SD 57702-5350 | 2020-07-31 |
| 1235622978 | Melisa Marie Good | Counselor | 2920 Sheridan Lake Rd, Rapid City, SD 57702-8191 | 2018-06-07 |
| 1326331927 | Rachel Dawn Shepherd | Social Worker | 2920 Sheridan Lake Rd, Rapid City, SD 57702-5350 | 2011-05-16 |
| 1861514416 | Black Hills Child Psychiatric Services | Clinic/Center | 2920 Sheridan Lake Rd, Rapid City, SD 57702-5350 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219390 | Deborah Ann Dobbins | Counselor | 321 Kansas City St Ste 120, Rapid City, SD 57701-3086 | 2020-09-11 |
| 1053938456 | Sarah E Swantner | Counselor | 1010 9th St Ste 13, Rapid City, SD 57701-3782 | 2020-07-01 |
| 1770125874 | Jacob John Folstrom | Counselor | 2902 W Main St, Rapid City, SD 57702-8132 | 2019-10-10 |
| 1548829161 | Jacquelyn Nicole Galles | Counselor | 4447 S Canyon Rd Ste 5, Rapid City, SD 57702-1889 | 2019-06-07 |
| 1639736572 | Nicole Ann Heenan | Counselor | 518 6th St Ste 4, Rapid City, SD 57701-5000 | 2019-05-27 |
| 1447724745 | Monica Brennan | Counselor | 2811 Wilkie Dr Apt 304, Rapid City, SD 57702-9775 | 2019-01-20 |
| 1184151946 | Individual and Family Counseling | Counselor | 2650 Jackson Blvd # 198, Rapid City, SD 57702-3474 | 2017-05-11 |
| 1679027569 | Gammeter&associates LLC | Counselor | 8008 Pathfinder Pl, Rapid City, SD 57702-9171 | 2016-08-08 |
| 1770944498 | Richard Scott Wiley | Counselor | 4951 Hansen Ln, Rapid City, SD 57703-0147 | 2016-03-08 |
| 1164890661 | Torno Mediation & Mental Health Services, LLC | Counselor | 324 Saint Joseph St Ste 202, Rapid City, SD 57701-2829 | 2015-09-14 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on MR. DUANE J KAVANAUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.