Individual provider Active NPI

Thelma Claymore, CCDC-II

  • Addiction (Substance Use Disorder) Counselor
  • Lemmon, SD
National Provider Identifier
1467519314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
02041196 Issued in SD
Practice address
11 4TH St E
Lemmon, SD 57638-1524
Phone
(605) 374-3862
Fax
(605) 374-3864
NPI assigned
Jan 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 02041196 SD Primary

Addresses

Primary practice location

11 4TH St E
Lemmon, SD 57638-1524

Mailing address

PO Box 447
11 East 4TH Street
Lemmon, SD 57638-0447
Phone (605) 374-3862

Other identifiers 2

IdentifierTypeStateIssuer
0003226OtherSDBCBS GROUP #
02041196OtherSDSTATE CERT.#

Other names 1

  • Thelma Claymore Other 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

State licenses

LicenseStateTypeSpecialty
02041196SDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Mental Health and Chemical Dependency Center PastSince Dec 11, 2023 Accepting new patients
Deutscher Clinics, P. C. PastSince Feb 1, 2010 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467519314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "address_2": "11 EAST 4TH STREET",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576380447",
            "telephone_number": "605-374-3862",
            "fax_number": "605-374-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 4TH ST E",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576381524",
            "telephone_number": "605-374-3862",
            "fax_number": "605-374-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYMORE",
        "first_name": "THELMA",
        "credential": "CCDC-II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "02041196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "0003226",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERT.#",
            "identifier": "02041196",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THELMA",
            "last_name": "CLAYMORE",
            "credential": "CCDC-II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lemmon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.