Individual provider Active NPI

Elisabeth Fricke, MSC, MA

  • Marriage & Family Therapist
  • Gardnerville, NV
National Provider Identifier
1124440698
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI0549 Issued in NV
Practice address
1512 US Highway 395 N
Suite 2
Gardnerville, NV 89410-5282
Phone
(775) 400-7241
Fax
(775) 782-8637
NPI assigned
Jan 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00382LC NV
Marriage & Family Therapist 106H00000X MI0549 NV Primary

Addresses

Primary practice location

1512 US Highway 395 N
Suite 2
Gardnerville, NV 89410-5282

Mailing address

1255 Centerville LN # B
Gardnerville, NV 89460-9730
Phone (775) 400-7241

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

LicenseStateTypeSpecialty
00382LCNVMDAddiction (Substance Use Disorder) Counselor
MI0549NVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1124440698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 CENTERVILLE LN # B",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894609730",
            "telephone_number": "775-400-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 US HIGHWAY 395 N",
            "address_2": "SUITE 2",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105282",
            "telephone_number": "775-400-7241",
            "fax_number": "775-782-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKE",
        "first_name": "ELISABETH",
        "credential": "MSC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00382LC",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.