Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Rachel Pettersen, LPC-MH, QMHP

Individual provider Mental Health Counselor · NPI 1114357134

Mrs. Rachel Pettersen, LPC-MH, QMHP is a Mental Health Counselor in Spearfish, South Dakota. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
12
Licensed in
SD
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

115 N 7th St Ste 4
Spearfish, SD 57783-2710
Phone: (605) 641-2661
Fax: (605) 644-5121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence LPCMH20297 (SD)

Record details

NPI number1114357134
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-MH , QMHP
Sole proprietorYes
NPI enumeratedNovember 13, 2013
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spearfish