Active NPI
Eliane Alabe Deblauw, LMFT
- Marriage & Family Therapist
- Nampa, ID
National Provider Identifier
1447625850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 6683
- Practice address
- 223 16TH Ave N
Nampa, ID 83653-0009 - Phone
- (208) 467-7654
- Fax
- (208) 318-1391
- NPI assigned
- Dec 10, 2015
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6683 | ID | Primary |
| Community/Behavioral Health Agency | 251S00000X | FL |
Addresses
Primary practice location
223 16TH Ave N
Nampa, ID 83653-0009
Mailing address
PO Box 9
Nampa, ID 83653-0009
Phone (208) 461-7149
Other practice location 1
2729 East Moody Blvd # 103
Flager Mental Health Center, Pa
Burnell, FL 32110
Phone (386) 206-1894
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6683 | ID | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
Interoperability endpoints
- elianedeblauw@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1447625850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "NAMPA",
"state": "ID",
"postal_code": "836530009",
"telephone_number": "208-461-7149",
"fax_number": "208-467-3391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 16TH AVE N",
"city": "NAMPA",
"state": "ID",
"postal_code": "836530009",
"telephone_number": "208-467-7654",
"fax_number": "208-318-1391"
}
],
"practiceLocations": [
{
"address_1": "2729 East Moody Blvd # 103",
"address_2": "Flager Mental Health Center, Pa",
"address_purpose": "LOCATION",
"city": "Burnell",
"state": "FL",
"postal_code": "32110",
"country_code": "US",
"telephone_number": "386-206-1894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEBLAUW",
"first_name": "ELIANE",
"middle_name": "ALABE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ID",
"license": "6683",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.