Well Balane Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-MH20198 Issued in SD

Legal business name

WELL BALANE COUNSELING SERVICES

Practice address

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

Phone

(605) 212-6315

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Elizabeth Clayborne-Moeller

Title

Owner/Counselor

Phone

(605) 212-6315

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1689193344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 S BAHNSON AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082594"
        },
        {
            "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": {
        "organization_name": "WELL BALANE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "CLAYBORNE-MOELLER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "605-212-6315"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "13031560",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH20198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.