Individual provider Active NPI

Lee Ann Kelly Elvig, MA, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1043466949
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62578 Issued in TX
Practice address
955 Dairy Ashford St
Suite 110
Houston, TX 77079-5310
Phone
(281) 496-5212
Fax
(888) 322-3865
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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 62578 TX Primary

Addresses

Primary practice location

955 Dairy Ashford St
Suite 110
Houston, TX 77079-5310

Mailing address

955 Dairy Ashford St
Suite 110
Houston, TX 77079-5310
Phone (281) 496-5212

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
62578TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1043466949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD ST",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795310",
            "telephone_number": "281-496-5212",
            "fax_number": "888-322-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD ST",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795310",
            "telephone_number": "281-496-5212",
            "fax_number": "888-322-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVIG",
        "first_name": "LEE ANN",
        "middle_name": "KELLY",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.