Active NPI
Nanette F Elkins, LPC
- Professional Counselor
- Gulf Shores, AL
National Provider Identifier
1194725150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 613 Gulf Shores Pkwy Ste 204
Gulf Shores, AL 36542-6451 - Phone
- (334) 444-4205
- NPI assigned
- Jul 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1803 | AL | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
613 Gulf Shores Pkwy Ste 204
Gulf Shores, AL 36542-6451
Mailing address
1745 Arcadia Dr
Foley, AL 36535-2460
Phone (334) 444-4205
Other practice location 1
201 E Camphor Avenue
Foley, AL 36535-6646
Phone (251) 450-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1803 | Other | AL | LPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1803 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1194725150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 ARCADIA DR",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352460",
"telephone_number": "334-444-4205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 GULF SHORES PKWY STE 204",
"city": "GULF SHORES",
"state": "AL",
"postal_code": "365426451",
"telephone_number": "334-444-4205"
}
],
"practiceLocations": [
{
"address_1": "201 E Camphor Avenue",
"address_purpose": "LOCATION",
"city": "Foley",
"state": "AL",
"postal_code": "365356646",
"country_code": "US",
"telephone_number": "251-450-2211",
"fax_number": "251-662-7297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELKINS",
"first_name": "NANETTE",
"middle_name": "F",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "1803",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "1803",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gulf Shores, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.