Active NPI
Elissa Jamie Bauer, M.ED, LPC
- Professional Counselor
- Houston, TX
National Provider Identifier
1124386800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68777
- Practice address
- 4203 Montrose Blvd Ste 310
Houston, TX 77006 - Phone
- (346) 291-0665
- NPI assigned
- May 1, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68777 | TX | Primary |
Addresses
Primary practice location
4203 Montrose Blvd Ste 310
Houston, TX 77006
Mailing address
8222 Douglas Ave
Dallas, TX 75225-5923
Phone (214) 261-1130
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68777 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1124386800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8222 DOUGLAS AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752255923",
"telephone_number": "214-261-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 MONTROSE BLVD STE 310",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77006",
"telephone_number": "346-291-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "ELISSA",
"middle_name": "JAMIE",
"name_prefix": "Mrs.",
"credential": "M.ED, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.