Elemental Family Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ELEMENTAL FAMILY SERVICES

Doing business as

Ellie Mental Health
Ellie Mental Health - Houston Clear Lake

Practice address

2200 Space Park Dr Ste 240
Houston, TX 77058-3677

Phone

(346) 857-5319

NPI assigned

Oct 27, 2022

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Corey Kauffman

Title

Ceo

Phone

(346) 857-5319

Specialties & licenses 1

Addresses

Other names 2

• Ellie Mental Health Doing business as
• Ellie Mental Health - Houston Clear Lake Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rendie Brown, LMFT

  • Marriage & Family Therapist
  • Houston, TX
  • NPI 1386093458
  NPD
• Daisey M McCloud, MA, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1568855997
  NPD
• Karlista Peralta, LCSW

  • Clinical Social Worker
  • Houston, TX
  • NPI 1780751925
  NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1053038273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 POWER ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735539",
            "telephone_number": "346-857-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SPACE PARK DR STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583677",
            "telephone_number": "346-857-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "KAUFFMAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-857-5319"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health - Houston Clear Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April A Elegbede
• Vivian Ngozi Elege
• Iyobo Elegon
• Odasy Nicole Elejarde, NP
• Lilian Adaobi Elem, NP
• Elemental LLC
• Elements of Change Assistive and Rehabilitve Services Inc
• Elements of Excellence Healthcare Services
• Taiwo Adeola Elemuren, NP
• Ewa Elenberg, MD

• Marriage & Family Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.