Elise Markham, M.A.,CADC, BCIAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0711 Issued in KY

Practice address

9509 US Highway 42
Falsoft Builing, Suite 201a
Prospect, KY 40059-9290

Phone

(502) 644-6975

NPI assigned

May 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1376598219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 FOUR SEASONS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412117",
            "telephone_number": "502-644-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9509 US HIGHWAY 42",
            "address_2": "FALSOFT BUILING, SUITE 201A",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599290",
            "telephone_number": "502-644-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "ELISE",
        "credential": "M.A.,CADC, BCIAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "0711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30605018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11574925",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason A Lipoff, DMD
• Kendall Marie Liter
• Kross Locke, DPT
• Nitisha Malhotra, FNP
• Julie Mangeot
• Todd Joseph Mattingly II, PHARMD
• Robert Edward Matts, D.C.
• Sydney Maxie
• Haley Michelle McAnelly
• Ian Jay McDermott

• Addiction (Substance Use Disorder) Counselor in Prospect, KY
• Providers in Prospect, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.