Active NPI
Elise Powell, LMHC
- Mental Health Counselor
- Lantana, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 8498
- Practice address
- 6788 Massachusetts Dr
Suite #1
Lantana, FL 33462-3836 - Phone
- (561) 670-7839
- NPI assigned
- Dec 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 8498 | FL | Primary |
Addresses
Primary practice location
6788 Massachusetts Dr
Suite #1
Lantana, FL 33462-3836
Mailing address
6788 Massachusetts Dr
Suite #1
Lantana, FL 33462-3836
Phone (561) 670-7839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 8498 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Moon Senior Counseling | Current | Accepting new patients |
Locations
2057 Edgewater Dr
Clearwater, FL 33755
Phone (727) 205-7077
15520 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 949-2626
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1073796983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6788 MASSACHUSETTS DR",
"address_2": "SUITE #1",
"city": "LANTANA",
"state": "FL",
"postal_code": "334623836",
"telephone_number": "561-670-7839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6788 MASSACHUSETTS DR",
"address_2": "SUITE #1",
"city": "LANTANA",
"state": "FL",
"postal_code": "334623836",
"telephone_number": "561-670-7839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ELISE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 8498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lantana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.