Individual provider Active NPI

Elisa G Erickson, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1255504403
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
59483 Issued in TX
Practice address
1635 Somerset Rd Ste 101
San Antonio, TX 78211-3022
Phone
(210) 257-9393
Fax
(210) 254-9366
NPI assigned
Apr 9, 2008
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 59483 TX Primary

Addresses

Primary practice location

1635 Somerset Rd Ste 101
San Antonio, TX 78211-3022

Mailing address

1635 Somerset Rd Ste 101
San Antonio, TX 78211-3022
Phone (210) 257-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
59483TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Ties Counseling Services, PLLC Professional Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1255504403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 SOMERSET RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113022",
            "telephone_number": "210-257-9393",
            "fax_number": "210-254-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 SOMERSET RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113022",
            "telephone_number": "210-257-9393",
            "fax_number": "210-254-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ELISA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "59483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.