Individual provider Active NPI

Melissa Sue Roby, LPC

  • Professional Counselor
  • Sioux Falls, SD
National Provider Identifier
1881033017
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC7168 Issued in SD
Practice address
2412 S Cliff Ave
Ste 100
Sioux Falls, SD 57105-4031
Phone
(605) 322-4079
NPI assigned
Jun 20, 2013
Last updated
Jun 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC7168 SD Primary

Addresses

Primary practice location

2412 S Cliff Ave
Ste 100
Sioux Falls, SD 57105-4031

Mailing address

PO Box 5045
P.F.S.
Sioux Falls, SD 57117-5045
Phone (605) 322-6400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240424000112 SD Practitioner - Mental Health Counselor 6406295476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MK Counseling LLCGroup PAC ID 3870991185, 10 clinicians

Practice addresses (Care Compare)

5000 S Minnesota Ave
Suite 300
Sioux Falls, SD 57108-2700
Phone (605) 231-8387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC7168SDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Feb 26, 2024 Accepting new patients
MK Counseling LLC CurrentSince Oct 23, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Feb 26, 2024 Accepting new patients
Avera McKennan Past Accepting new patients

Locations

2412 S Cliff Ave
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-4031

3932 S Western Ave
Sioux Falls, SD 57105
Phone (605) 322-6408

5000 S Minnesota Ave
Ste 300
Sioux Falls, SD 57108
Phone (507) 302-3228

Organizations & group practices 5

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1881033017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5045",
            "address_2": "P.F.S.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175045",
            "telephone_number": "605-322-6400",
            "fax_number": "605-322-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 S CLIFF AVE",
            "address_2": "STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054031",
            "telephone_number": "605-322-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC7168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.