Organization Active NPI

Elizabeth E. Correll, Ma PLLC

  • Marriage & Family Therapist
  • Mooresville, NC
National Provider Identifier
1245549963
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ELIZABETH E. CORRELL, MA PLLC
Practice address
206 Joe V Knox Ave Ste F
Mooresville, NC 28117-7912
Phone
(704) 754-2050
Fax
(704) 662-6503
NPI assigned
Sep 29, 2010
Last updated
Sep 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Ms. Elizabeth Echeverria Correll, MA, LMFT, LCASNPI 1487781969
Title
Marriage and Family Therapist
Phone
(704) 754-2050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

206 Joe V Knox Ave Ste F
Mooresville, NC 28117-7912

Mailing address

206 Joe V Knox Ave Ste F
Mooresville, NC 28117-7912
Phone (704) 754-2050

Other identifiers 1

IdentifierTypeStateIssuer
6105136MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1245549963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 JOE V KNOX AVE STE F",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177912",
            "telephone_number": "704-754-2050",
            "fax_number": "704-662-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 JOE V KNOX AVE STE F",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177912",
            "telephone_number": "704-754-2050",
            "fax_number": "704-662-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH E. CORRELL, MA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "CORRELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ECHEVERRIA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "704-754-2050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105136",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.