Active NPI
Elizabeth Renee Holiday
- Marriage & Family Therapist
- Henderson, NV
National Provider Identifier
1467998500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI0769
- Practice address
- 1070 Wigwam Pkwy Ste 100
Henderson, NV 89074-8178 - Phone
- (702) 405-8088
- NPI assigned
- Jan 12, 2017
- Last updated
- Nov 27, 2023
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MI0769 | NV | Primary |
Addresses
Primary practice location
1070 Wigwam Pkwy Ste 100
Henderson, NV 89074-8178
Mailing address
5041 Lark Canyon CT
North Las Vegas, NV 89031-6267
Phone (720) 252-7229
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elizabeth@changingmindspsych.com | Direct |
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 |
|---|---|---|---|
| MI0769 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Happy Counseling, LLC | Past | Accepting new patients |
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.
-
- Counselor
- Las Vegas, NV
- NPI 1205345048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1467998500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5041 LARK CANYON CT",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890316267",
"telephone_number": "720-252-7229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 WIGWAM PKWY STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748178",
"telephone_number": "702-405-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIDAY",
"first_name": "ELIZABETH",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2023-11-27",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI0769",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elizabeth@changingmindspsych.com",
"affiliation": "Y",
"endpointDescription": "practice email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1070 Wigwam Pkwy",
"city": "Henderson",
"state": "NV",
"country_code": "US",
"postal_code": "890748177",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.