Active NPI
Elise Pardue, LPCC
- Professional Counselor
- Santa Fe, NM
National Provider Identifier
1457543753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0112961
- Practice address
- 2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351 - Phone
- (505) 986-9633
- Fax
- (505) 474-4663
- NPI assigned
- Aug 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0112961 | NM | Primary |
Addresses
Primary practice location
2960 Rodeo Park Dr W
Santa Fe, NM 87505-6351
Mailing address
PO Box 690
Tesuque, NM 87574
Phone (505) 699-5533
Other names 1
- Elise Barksdale
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 |
|---|---|---|---|
| 0112961 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1457543753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690",
"city": "TESUQUE",
"state": "NM",
"postal_code": "87574",
"telephone_number": "505-699-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 RODEO PARK DR W",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875056351",
"telephone_number": "505-986-9633",
"fax_number": "505-474-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDUE",
"first_name": "ELISE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0112961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISE",
"last_name": "BARKSDALE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.