IndividualActive
Chad Maxon, BS, CAC
NPI 1609655729 · Counselor · Rapid City, SD
Provider details
- NPI number
- 1609655729
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- BS, CAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26022072 (SD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2165 Promise Rd
Rapid City, SD 57701-8981
Phone: (605) 718-1095
Approximate (ZIP-level) locationGet directions
Mailing address
2165 Promise Rd
Rapid City, SD 57701-8981
Registry dates
- Enumerated
- 2023-09-27
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.