NPIMap

Organization Active NPI

Elevate Family Counseling Center PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Clara, CA
National Provider Identifier
1508457177
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELEVATE FAMILY COUNSELING CENTER PC
Doing business as
Elevate Counseling Center
Practice address
1588 Homestead Rd Ste a
M/B 5
Santa Clara, CA 95050-4783
Phone
(408) 288-4767
NPI assigned
Jan 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Deborah LicurseNPI 1457487670
Title
Owner
Phone
(408) 228-4767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1588 Homestead Rd Ste a
M/B 5
Santa Clara, CA 95050-4783

Mailing address

1588 Homestead Rd Ste a
M/B 5
Santa Clara, CA 95050-4783
Phone (408) 774-1009

Other names 1

  • Elevate Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elevate Counseling Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1588 Homestead Rd
#5
Santa Clara, CA 95050
Phone (408) 288-4767

1588 Homestead Rd
Ste A
Santa Clara, CA 95050
Phone (408) 288-4767

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1508457177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 HOMESTEAD RD STE A",
            "address_2": "M/B 5",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504783",
            "telephone_number": "408-774-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 HOMESTEAD RD STE A",
            "address_2": "M/B 5",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504783",
            "telephone_number": "408-288-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE FAMILY COUNSELING CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "LICURSE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-228-4767"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.