Individual provider Active NPI

Aleisha Martine Elliot, LPC, NCC, RRT, EMDR

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1154688273
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006632 Issued in GA
Practice address
908 2ND Ave
Columbus, GA 31901-2716
Phone
(706) 341-4349
Fax
(877) 876-6954
NPI assigned
Apr 13, 2012
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006632 GA Primary

Addresses

Primary practice location

908 2ND Ave
Columbus, GA 31901-2716

Mailing address

908 2ND Ave
Columbus, GA 31901-2716
Phone (706) 341-4349

Other identifiers 1

IdentifierTypeStateIssuer
003140958AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605002283 GA Practitioner - Marriage and Family Therapist 1254802606 Practice locations: Columbus, GA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

908 2ND Ave
Columbus, GA 31901-2716
Phone (706) 341-4349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC006632GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1154688273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 2ND AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012716",
            "telephone_number": "706-341-4349",
            "fax_number": "877-876-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 2ND AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012716",
            "telephone_number": "706-341-4349",
            "fax_number": "877-876-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "ALEISHA",
        "middle_name": "MARTINE",
        "credential": "LPC, NCC, RRT, EMDR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140958A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.