Organization Active NPI

Clear Horizons LLC

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1942169313
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLEAR HORIZONS LLC
Practice address
3615 Canyon Lake Dr Ste 6
Rapid City, SD 57702-2630
Phone
(605) 467-7322
Fax
(605) 997-6217
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Eleisha Dooley
Title
Credentialing
Phone
(605) 517-2444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

3615 Canyon Lake Dr Ste 6
Rapid City, SD 57702-2630

Mailing address

3615 Canyon Lake Dr Ste 6
Rapid City, SD 57702-2630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260609002640 SD Part B Supplier - Clinic/Group Practice 4082185129 Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Locations

3615 Canyon Lake Dr
Ste 6
Rapid City, SD 57702
Phone (605) 467-7322

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1942169313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 CANYON LAKE DR STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 CANYON LAKE DR STE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022630",
            "telephone_number": "605-467-7322",
            "fax_number": "605-997-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR HORIZONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "ELEISHA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "605-517-2444"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.