Little Canyon Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LITTLE CANYON SERVICES LLC

Practice address

310 S 26TH St Ste 1
Spearfish, SD 57783-3355

Phone

(605) 580-7358

Fax

(605) 559-0321

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Michele Marie Clodfelder, LPC-MHNPI 1194108829

Title

Owner

Phone

(218) 232-0889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michele Marie Clodfelder, MS, LPC-MH

  • Professional Counselor
  • Spearfish, SD
  • NPI 1194108829
  Medicare reassignment Care Compare group NPD Authorized official
• David George May

  • Marriage & Family Therapist
  • Spearfish, SD
  • NPI 1629736947
  Care Compare group

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1457049504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S 26TH ST STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833355",
            "telephone_number": "605-580-7358",
            "fax_number": "605-559-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 26TH ST STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833355",
            "telephone_number": "605-580-7358",
            "fax_number": "605-559-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE CANYON SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "CLODFELDER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-232-0889",
        "authorized_official_credential": "LPC-MH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriel Lehtola, OT
• Cherise Deann Lerew, PHD
• Cedar Ellen Lewis, DC
• Lifetime Eyecare
• Lincare Inc.
• Richard M Little, MD
• Living Lightly Mental Health LLC
• Lorri a. Riley, DPM PC
• Samantha Sue Lucas, D.C.
• Lutheran Social Services of SD (Canyon Hills Center)

• Mental Health Counselor in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.