Marc Elliott, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66300 Issued in TX

Practice address

3722 Pinemont Dr
Houston, TX 77018-1220

Phone

(713) 426-4545

NPI assigned

Sep 14, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Marcus Elliott Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1639429863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 E 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770084473",
            "telephone_number": "832-865-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 PINEMONT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770181220",
            "telephone_number": "713-426-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "MARC",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "66300",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCUS",
            "last_name": "ELLIOTT",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kareen Elliott, APRN, CPNP PC
• Katie Jean Elliott, LCSW
• Kaysha Amaya Elliott
• Kristin Elliott
• Kristine Elliott, PHARM.D
• Mark Elliott, D.O.
• Megan Catherine Elliott, PTA
• Mendie Holt Elliott, M.A.,CCC-SLP
• Rhea E Elliott, F.N.P.
• Robin Michelle Elliott, PHARM D

• Professional Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.