Individual provider Active NPI

Elizabeth Amber Clayborne-Moeller, MS, LAC, LPC-MH, QMH

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1386079945
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH20198 Issued in SD
Practice address
101 S Reid St Ste 307
Sioux Falls, SD 57103-7045
Phone
(605) 212-6315
NPI assigned
Sep 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH20198 SD Primary

Addresses

Primary practice location

101 S Reid St Ste 307
Sioux Falls, SD 57103-7045

Mailing address

101 S Reid St Ste 307
Sioux Falls, SD 57103-7045
Phone (605) 212-6315

Other names 1

  • Elizabeth Amber Clayborne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-MH20198SDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386079945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S REID ST STE 307",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571037045",
            "telephone_number": "605-212-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S REID ST STE 307",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571037045",
            "telephone_number": "605-212-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYBORNE-MOELLER",
        "first_name": "ELIZABETH",
        "middle_name": "AMBER",
        "credential": "MS, LAC, LPC-MH, QMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH20198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CLAYBORNE",
            "middle_name": "AMBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.