Individual provider Active NPI

Elizabeth Houle, LMFT

  • Marriage & Family Therapist
  • Cleveland, TN
National Provider Identifier
1336656289
Registry record updated Jan 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1234 Issued in TN
Practice address
3405 Peerless Rd NW
Cleveland, TN 37312-3431
Phone
(423) 650-7543
NPI assigned
Jan 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 1234 TN Primary

Addresses

Primary practice location

3405 Peerless Rd NW
Cleveland, TN 37312-3431

Mailing address

3944 Georgetown Rd NW
Cleveland, TN 37312-1805

Other identifiers 1

IdentifierTypeStateIssuer
0000000000OtherNONE TO REPORT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410000162 VA Practitioner - Marriage and Family Therapist 7315412012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

179 Tazewell St
Wytheville, VA 24382-2347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1234TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Bonds Counseling LLC Marriage & Family Therapist CurrentSince Dec 6, 2022 Accepting new patients
New River Hope Center Marriage & Family Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

3405 Peerless Rd NW
Cleveland, TN 37312
Phone (423) 650-7543

179 Tazewell St
Wytheville, VA 24382

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514764800000",
    "number": "1336656289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 GEORGETOWN RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373121805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 PEERLESS RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123431",
            "telephone_number": "423-650-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULE",
        "first_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE TO REPORT",
            "identifier": "0000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.