Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Koni Berreth, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1659912400

Koni Berreth, MS, CCC-SLP is a Qualified Speech Language Pathologist in Rapid City, South Dakota. Qualified in 2007, 19 years ago. Practices with Dakota Speech and Swallow Center, a 3-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
19
Licensed in
SD
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3810 Jackson Blvd
Rapid City, SD 57702-3246
Phone: (605) 484-2303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 211-SLP (SD)

Record details

NPI number1659912400
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019
Mailing address3810 Jackson Blvd, Rapid City, SD 57702-3246

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Dakota Speech And Swallow Center — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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