Individual provider Active NPI

Elizabeth S Monke, M.S., L.P.

  • Psychologist
  • Fergus Falls, MN
National Provider Identifier
1649227539
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP3448 Issued in MN
Practice address
126 E Alcott Ave
Fergus Falls, MN 56537-2903
Phone
(218) 736-6987
Fax
(218) 736-6980
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP3448 MN Primary

Addresses

Primary practice location

126 E Alcott Ave
Fergus Falls, MN 56537-2903

Mailing address

1000 E Mount Faith Ave
Fergus Falls, MN 56537-2331

Other identifiers 5

IdentifierTypeStateIssuer
1013226OtherMNPREFERREDONE
11528OtherMNUCARE MINNESOTA
HP24227OtherMNHEALTHPARTNERS
62-63747OtherMNUNITED BEHAVIORAL HEALTH
9G110SAOtherMNBLUE SHIELD OF MINNESOTA

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

LicenseStateTypeSpecialty
LP3448MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Mental Health Center, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649227539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MOUNT FAITH AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E ALCOTT AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372903",
            "telephone_number": "218-736-6987",
            "fax_number": "218-736-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONKE",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "M.S., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1013226",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MINNESOTA",
            "identifier": "11528",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP24227",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "62-63747",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MINNESOTA",
            "identifier": "9G110SA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

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.

Verify at the official NPI Registry.