Individual provider Active NPI

Stephanie Jill Moore, LPC-MH

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1366794810
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-20418 Issued in SD
Practice address
5421 W 41St St Ste 207
Sioux Falls, SD 57106-1300
Phone
(605) 709-4640
Fax
(605) 427-0831
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-20418 SD Primary
Counselor 101Y00000X
Professional Counselor 101YP2500X LPC-20418 SD

Addresses

Primary practice location

5421 W 41St St Ste 207
Sioux Falls, SD 57106-1300

Mailing address

5421 W 41St St Ste 207
Sioux Falls, SD 57106-1300
Phone (605) 709-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814001041 SD Practitioner - Mental Health Counselor 3870826910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5421 W 41St St
Suite 207
Sioux Falls, SD 57106-1300
Phone (885) 888-8627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-20418SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Counseling Services LLC Mental Health CurrentSince Jun 30, 2024 Accepting new patients
Community Counseling Service Mental Health PastSince Apr 2, 2004 Accepting new patients

Locations

5421 W 41st St
Ste 207
Sioux Falls, SD 57106
Phone (855) 888-8627

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1366794810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 W 41ST ST STE 207",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061300",
            "telephone_number": "605-709-4640",
            "fax_number": "605-427-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 W 41ST ST STE 207",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061300",
            "telephone_number": "605-709-4640",
            "fax_number": "605-427-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "STEPHANIE",
        "middle_name": "JILL",
        "credential": "LPC-MH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-20418",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC-20418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.