Active NPI
Deborah J Elhard, MS LPCC
- Professional Counselor
- Ellendale, ND
National Provider Identifier
1639246937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 240 Main St
Ellendale, ND 58436 - Phone
- (701) 678-4800
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC707 | SD | |
| Professional Counselor | 101YP2500X | ND | Primary |
Addresses
Primary practice location
240 Main St
Ellendale, ND 58436
Mailing address
PO Box 235
Ellendale, ND 58436-0235
Phone (701) 678-4800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23219 | Other | BLUE CROSS BLUE SHIELD | |
| 18559 | Other | BLUE CROSS BLUE SHIELD | |
| 18558 | Other | BLUE CROSS BLUE SHIELD | |
| 18063 | Other | BLUE CROSS BLUE SHIELD | |
| 27295 | Other | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC307419580 | ND | MD | Professional Counselor |
| LPC707 | SD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639246937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235",
"city": "ELLENDALE",
"state": "ND",
"postal_code": "584360235",
"telephone_number": "701-678-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MAIN ST",
"city": "ELLENDALE",
"state": "ND",
"postal_code": "58436",
"telephone_number": "701-678-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELHARD",
"first_name": "DEBORAH",
"middle_name": "J",
"credential": "MS LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SD",
"license": "LPC707",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ND",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "23219",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "18559",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "18558",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "18063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "27295",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellendale, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.