Active NPI
Elisa N Allen, MA, LPC-MHSP
- Mental Health Counselor
- Smithville, TN
National Provider Identifier
1053789958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3737
- Practice address
- 301 W Main St
Smithville, TN 37166-1211 - Phone
- (615) 597-4673
- Fax
- (615) 597-4673
- NPI assigned
- Sep 9, 2015
- Last updated
- Aug 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3737 | TN | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3737 | TN | |
| Marriage & Family Therapist | 106H00000X | 3737 | TN | |
| Mental Health Counselor | 101YM0800X | 3737 | TN | Primary |
Addresses
Primary practice location
301 W Main St
Smithville, TN 37166-1211
Mailing address
301 W Main St
Smithville, TN 37166-1211
Phone (615) 597-4673
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3737 | TN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven of Hope of Dekalb County, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Haven of Hope Counseling
- Mental Health Counselor
- Smithville, TN
- NPI 1932340288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471132800000",
"number": "1053789958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W MAIN ST",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371661211",
"telephone_number": "615-597-4673",
"fax_number": "615-597-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W MAIN ST",
"city": "SMITHVILLE",
"state": "TN",
"postal_code": "371661211",
"telephone_number": "615-597-4673",
"fax_number": "615-597-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "ELISA",
"middle_name": "N",
"credential": "MA, LPC-MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2016-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "3737",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "3737",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TN",
"license": "3737",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "3737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.