Scott E Moeller, LMFT LPCMH

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LMFT1100 Issued in SD

Practice address

705 E 41St Street
Suite 100
Sioux Falls, SD 57105-6047

Phone

(605) 357-0107

Fax

(605) 357-0190

NPI assigned

Oct 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699858118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E 41ST STREET",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056047",
            "telephone_number": "605-357-0107",
            "fax_number": "605-357-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E 41ST STREET",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056047",
            "telephone_number": "605-357-0107",
            "fax_number": "605-357-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "LMFT LPCMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LMFT1100",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SD",
            "license": "LPCMH2062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575730",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modern Dental LLC
• Amanda Marie Moe, CNM
• Matthew Moe, OD
• Paul D Moe, CRNA
• Megan Elizabeth Moeding, CNP
• Morgan Lynn Moelter, PA-C
• Adam Moen, PT
• Collin Arnold Moen, CNP
• Joseph Moen
• Katie Marie Moen, FNP-C

• Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Counselor in South Dakota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.