Organization Active NPI

Elks Therapy PLLC

  • Mental Health Counselor
  • Vernon, FL
National Provider Identifier
1093341117
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELKS THERAPY PLLC
Practice address
2549 Davids Rd
Vernon, FL 32462-3178
Phone
(570) 810-9505
Fax
(850) 800-9059
NPI assigned
Mar 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Erin Lynn Keip-Strausbaugh, LMHCNPI 1154785228
Title
Owner/Clinician
Phone
(850) 290-7730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2549 Davids Rd
Vernon, FL 32462-3178

Mailing address

PO Box 24
Vernon, FL 32462-0024
Phone (570) 810-9505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250526000055 FL Part B Supplier - Clinic/Group Practice 3173042991 Receives reassigned benefits from 1 practitioner
Practice locations: Vernon, FL

National Provider Directory

National Provider Directory

Locations

8317 Front Beach Rd
Ste 29B2
Panama City Beach, FL 32407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1093341117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324620024",
            "telephone_number": "570-810-9505",
            "fax_number": "850-800-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 DAVIDS RD",
            "city": "VERNON",
            "state": "FL",
            "postal_code": "324623178",
            "telephone_number": "570-810-9505",
            "fax_number": "850-800-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "KEIP-STRAUSBAUGH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "850-290-7730",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.