Active NPI
Elene Carol Lee, LPCC
- Professional Counselor
- Oakland, CA
National Provider Identifier
1598046773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1853
- Practice address
- 23 Villanova LN
Oakland, CA 94611-1130 - Phone
- (510) 339-2875
- Fax
- (510) 339-2875
- NPI assigned
- Sep 1, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1853 | VA | Primary |
| Professional Counselor | 101YP2500X | 0901 | MO |
Addresses
Primary practice location
23 Villanova LN
Oakland, CA 94611-1130
Mailing address
23 Villanova LN
Oakland, CA 94611-1130
Phone (510) 339-2875
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 |
|---|---|---|---|
| 0901 | MO | MD | Professional Counselor |
| 1853 | VA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1598046773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 VILLANOVA LN",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111130",
"telephone_number": "510-339-2875",
"fax_number": "510-339-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 VILLANOVA LN",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111130",
"telephone_number": "510-339-2875",
"fax_number": "510-339-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ELENE",
"middle_name": "CAROL",
"name_prefix": "Miss",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-01",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "1853",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "0901",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.