Alyse A Eldred, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

5150 E Pacific Coast Hwy Ste 200
Long Beach, CA 90804-3399

Phone

(805) 448-2983

NPI assigned

Dec 31, 2009

Reactivated

Nov 21, 2017

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1174853832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E PACIFIC COAST HWY STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043399",
            "telephone_number": "805-448-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E PACIFIC COAST HWY STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043399",
            "telephone_number": "805-448-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRED",
        "first_name": "ALYSE",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2017-11-27",
        "deactivation_date": "2017-10-25",
        "reactivation_date": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adel A Eldahmy, M.D., M.B.A
• Elder Audio Rehab Medical Group Inc
• Rekeeshella J Elder
• Eldorado Community Service Center
• Eldorado Community Service Center
• Elements Marriage, Family, Couples, and Individual Therapy Corp
• Elevate Home Health, LLC
• Elevate Home Health, LLC
• Noor Elfarra
• Susan Nancy Elftman, P.A.

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.