Victoria Lynn Elliott, L.A.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1804 Issued in MN

Practice address

3141 Fernbrook LN N
Plymouth, MN 55447-5320

Phone

(612) 839-1791

NPI assigned

Jun 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mustard Seed Counseling, LLC

  • Marriage & Family Therapist
  • Plymouth, MN
  • NPI 1477230241
  NPD Authorized official
• Soul Work Counseling, LLC

  • Community/Behavioral Health Agency
  • Blaine, MN
  • NPI 1710295001
  NPD (past)

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1174750871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 59TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554421561",
            "telephone_number": "612-839-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 FERNBROOK LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475320",
            "telephone_number": "612-839-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "L.A.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Leslie Eide, M.A., L.P.
• Erik J Ekstrom, MD
• Elbrus Empire, LLC
• Elevate Transportation Services Inc
• Elim Preferred Services Inc.
• Ying P Elliott, LICSW
• Kristen Elm
• Ivy Arwen Emery, RN, CNP
• Aimee Jean Endean, D.D.S.
• Mowoh A Endeley, CRNA

• Marriage & Family Therapist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.