Active NPI
Elizabeth E. Correll, Ma PLLC
- Marriage & Family Therapist
- Mooresville, NC
National Provider Identifier
1245549963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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, LCAS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6105136 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Addiction (Substance Use Disorder) Counselor
- Mooresville, NC
- NPI 1487781969
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.