Tracie Erin Bren-clegg, LPC-MH | |
611 Dahl Rd Ste 8, Spearfish, SD 57783-2739 | |
(605) 641-7534 | |
Not Available |
Full Name | Tracie Erin Bren-clegg |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 611 Dahl Rd Ste 8, Spearfish, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528255585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC-MH20366 (South Dakota) | Secondary |
101YP2500X | Counselor - Professional | LPC-MH20366 (South Dakota) | Primary |
Entity Name | Clegg Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992493514 PECOS PAC ID: 2961852066 Enrollment ID: O20240102003513 |
Mailing Address | Practice Location Address |
---|---|
Tracie Erin Bren-clegg, LPC-MH 611 Dahl Rd Ste 8, Spearfish, SD 57783-2739 Ph: (605) 641-7534 | Tracie Erin Bren-clegg, LPC-MH 611 Dahl Rd Ste 8, Spearfish, SD 57783-2739 Ph: (605) 641-7534 |
Megan Bennett, BS CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 710 E Colorado Blvd, Spearfish, SD 57783 Phone: 605-642-7093 Fax: 605-722-3931 | |
Carmen L Heaphy, LPC Counselor Medicare: Medicare Enrolled Practice Location: 623 Dahl Rd, Spearfish, SD 57783 Phone: 605-642-2777 Fax: 605-642-9356 | |
Mandi Marie Scott, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N 7th St Ste 6, Spearfish, SD 57783 Phone: 605-645-0100 Fax: 605-717-1009 | |
Katherin Ann Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 623 Dahl Rd, Spearfish, SD 57783 Phone: 605-642-2777 Fax: 605-642-9356 | |
Loree Siegfried, CSW-PIP, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1420 North Ave Ste 5, Spearfish, SD 57783 Phone: 605-939-0296 Fax: 605-939-0296 | |
Mrs. Rachel Pettersen, LPC-MH, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N 7th St Ste 4, Spearfish, SD 57783 Phone: 605-641-2661 Fax: 605-644-5121 | |
Pamela J. Hendrickson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 623 Dahl Rd, Spearfish, SD 57783 Phone: 605-642-2777 |