Elizabeth Gayle Allen, PH.D., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68283 Issued in TX

Practice address

8408 Davis Blvd Ste 240
North Richland Hills, TX 76182-8685

Phone

(817) 765-5664

Fax

(678) 880-1788

NPI assigned

Jun 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Elizabeth Gayle Soules Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emh Mid-Cities PLLCGroup PAC ID 3072058387, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emh Mid-Cities PLLC

  • Mental Health Counselor
  • North Richland Hills, TX
  • NPI 1477277192
  Medicare reassignment Care Compare group NPD
• Emh Mid-Cities PLLC

  • Mental Health Counselor
  • Grapevine, TX
  • NPI 1437938115
  NPD

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1043470008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 DAVIS BLVD STE 240",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828685",
            "telephone_number": "817-765-5664",
            "fax_number": "678-880-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 DAVIS BLVD STE 240",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828685",
            "telephone_number": "817-765-5664",
            "fax_number": "678-880-1788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4841 Merlot Ave Unit 420",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760517382",
            "country_code": "US",
            "telephone_number": "817-809-8399",
            "fax_number": "817-918-7307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ELIZABETH",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "LPC4681",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005016",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SOULES",
            "middle_name": "GAYLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Professional Counselor in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.