MRS. COLLEEN MARIE WAXLER MA LPC MH LMFT NPI 1548230956

NPI Information

NPI: 1548230956
Provider Name: MRS. COLLEEN MARIE WAXLER, MA LPC MH LMFT
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3601 CANYON LAKE DR
CHRYSALIS
RAPID CITY, SD
ZIP 57702
Phone: (605) 341-8647
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MRS. Colleen Marie Waxler, MA LPC MH LMFT is a counselor in Rapid City, SD. The provider is 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. MRS. Colleen Marie Waxler, MA LPC MH LMFT NPI is 1548230956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3601 CANYON LAKE DR
CHRYSALIS
RAPID CITY, SD
ZIP 57702
Phone: (605) 341-8647
Fax: (605) 341-0489

The enumeration date for this NPI number is 1/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		2022	SOUTH DAKOTA	Yes
2	106H00000X	Marriage & Family Therapist		1080	SOUTH DAKOTA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6575172	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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