Buffie Baker Eller, L.P.C.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A8675 Issued in NC

Practice address

2005 Flint Lane
Gastonia, NC 28054

Phone

(704) 865-4068

NPI assigned

Jun 15, 2015

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

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.

• The Groves Counseling Center

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1760939615
  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1457732596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 NC HIGHWAY 150 EAST",
            "city": "LICOLNTON",
            "state": "NC",
            "postal_code": "280927615",
            "telephone_number": "704-735-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 FLINT LANE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-865-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "BUFFIE",
        "middle_name": "BAKER",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A8675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Community Health, LLC
• Elite Community Health, LLC
• Elite Community Health, LLC
• Elite Community Health, LLC
• Ella'S Therapeutic Baths & Spa
• David Garth Ellertson Jr., MD
• Alexi Rae Ellington Webb, MD
• Tammie Elliott
• Jeffrey Hugh Ellison, PHD
• Jerry Timothy Elmore, LCAS-A

• Mental Health Counselor in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.