Kris Eldridge, LPC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC-15142 Issued in AZ

Legal business name

KRIS ELDRIDGE, LPC

Practice address

2045 S Vineyard
Suite 139
Mesa, AZ 85210-6889

Phone

(602) 499-3542

Fax

(480) 718-8762

NPI assigned

Jun 19, 2014

Organization subpart

No

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

Authorized official

Name

Kristen Eldridge, LPC

Title

Licensed Professional Counselor

Phone

(602) 499-3542

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmen Lynne Lucia, PSYD

  • Psychologist
  • Mesa, AZ
  • NPI 1841599941
  NPD (past)

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1447664180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD",
            "address_2": "SUITE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106889",
            "telephone_number": "602-499-3542",
            "fax_number": "480-718-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD",
            "address_2": "SUITE 139",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106889",
            "telephone_number": "602-499-3542",
            "fax_number": "480-718-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS ELDRIDGE, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "602-499-3542",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LPC-15142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KRC Holdings PLLC (Dobson Ranch Family Dentistry)
• Daniel S Krcelic, M.D.
• Karlee Krebs
• Jeffrey Scott Krehl
• Keith Krein, MD
• Amy Nicole Kriser
• Prashant Vasanth Krishnan, M.D.
• Lara Catherine Kristof, MA, CCC-SLP
• Brook A Kritzstein, LCSW
• Kelly Michele Krivulka, ATC

• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.