Nidia Zobeida Elm, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-15293 Issued in AZ

Practice address

11225 N 28TH Dr Ste D111
Phoenix, AZ 85029-5630

Phone

(602) 599-2000

Fax

(602) 599-2009

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nidia Zobeida Abraham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Intercessory Counseling & Wellness, PLLC

  • Professional Counselor
  • Glendale, AZ
  • NPI 1447753876
  NPD (past)
• San Fernando Valley Community Mental Health Center, Inc.

  • Psychiatry Physician
  • San Fernando, CA
  • NPI 1841320793
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1346370707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295630",
            "telephone_number": "602-599-2000",
            "fax_number": "602-599-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 N 28TH DR STE D111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295630",
            "telephone_number": "602-599-2000",
            "fax_number": "602-599-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELM",
        "first_name": "NIDIA",
        "middle_name": "ZOBEIDA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-15293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIDIA",
            "last_name": "ABRAHAM",
            "middle_name": "ZOBEIDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Verity Ellsworth Denham, RDH, BS
• Benjamin Ellsworth, MD
• German Ellsworth
• Marylynn Ellsworth, LPC, CTSS
• Matthew Ellsworth, PHARMD
• Ahmed Zakria Youssef Elmaadawi, M.D.,
• Ahmed Elmadani
• Murtada Elmahdi
• Sara B Elmahdi
• Karim Elmankabady, DO

• Marriage & Family Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.