Active NPI
Elizabeth Amber Clayborne-Moeller, MS, LAC, LPC-MH, QMH
- Mental Health Counselor
- Sioux Falls, SD
National Provider Identifier
1386079945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-MH20198
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-MH20198 | SD | MD | Mental 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.