Active NPI
Caroline Elisabeth Etheridge, LPC ASSOCIATE
- Professional Counselor
- Dallas, TX
National Provider Identifier
1033063292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 99170
- Practice address
- 2305 Worthington St Apt 222
Dallas, TX 75204-2727 - Phone
- (469) 224-7252
- NPI assigned
- Feb 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 99170 | TX | Primary |
Addresses
Primary practice location
2305 Worthington St Apt 222
Dallas, TX 75204-2727
Mailing address
2305 Worthington St Apt 222
Dallas, TX 75204-2727
Phone (469) 224-7252
Other names 1
- Elise Etheridge
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
| License | State | Type | Specialty |
|---|---|---|---|
| 99170 | TX | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1033063292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 WORTHINGTON ST APT 222",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042727",
"telephone_number": "469-224-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 WORTHINGTON ST APT 222",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042727",
"telephone_number": "469-224-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETHERIDGE",
"first_name": "CAROLINE",
"middle_name": "ELISABETH",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-02-24",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "99170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISE",
"last_name": "ETHERIDGE",
"credential": "LPC ASSOCIATE",
"code": "2",
"type": "Professional Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.