Alyce M. Elbern, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

940 Issued in MO

Practice address

108 South Heather LN
Columbia, MO 65203-7640

Phone

(573) 446-8990

Fax

(573) 445-9090

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336277649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HEATHER LN",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037640",
            "telephone_number": "573-446-8990",
            "fax_number": "573-445-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SOUTH HEATHER LN",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037640",
            "telephone_number": "573-446-8990",
            "fax_number": "573-445-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBERN",
        "first_name": "ALYCE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "940",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Tango, LLC (Alicia Simons, LCSW)
• Yousef El-Gohary, M.D. MA BCH BAO
• Ayman W El-Hattab, M.D.
• Jonathan W Elam, CP, PSYD
• Mohamed G Elbanan, M.D.
• Mahmoud Elesawy, MD
• Naziha Taher Elhassan, P.A.
• Mohamed Elhosary, MD
• Elizabeth Hagan Chiropractic LLC
• Tarek Samir Elkadi, M.D.

• Professional Counselor in Columbia, MO
• Providers in Columbia, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.