Active NPI
Nicole Elizabeth Morgan Ely, L.P.C.
- Professional Counselor
- Saint Louis, MO
National Provider Identifier
1497897649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2007008257
- Practice address
- 11222 Tesson Ferry Rd Ste 200
Saint Louis, MO 63123-6963 - Phone
- (314) 312-2349
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2007008257 | MO | Primary |
Addresses
Primary practice location
11222 Tesson Ferry Rd Ste 200
Saint Louis, MO 63123-6963
Mailing address
805 Bluff Ridge LN
Shiloh, IL 62221-3562
Phone (314) 757-0281
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 |
|---|---|---|---|
| 2007008257 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1497897649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 BLUFF RIDGE LN",
"city": "SHILOH",
"state": "IL",
"postal_code": "622213562",
"telephone_number": "314-757-0281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11222 TESSON FERRY RD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631236963",
"telephone_number": "314-312-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELY",
"first_name": "NICOLE",
"middle_name": "ELIZABETH MORGAN",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2007008257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.