Active NPI
Mary E Elijah, M.ED, LPC, RPT
- Professional Counselor
- Houston, TX
National Provider Identifier
1659429785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16298
- Practice address
- 10601 Grant Rd
Suite 114
Houston, TX 77070-4400 - Phone
- (832) 334-9659
- NPI assigned
- Jan 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16298 | TX | Primary |
Addresses
Primary practice location
10601 Grant Rd
Suite 114
Houston, TX 77070-4400
Mailing address
10601 Grant Rd
Suite 114
Houston, TX 77070-4400
Phone (832) 334-9659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473013 | Other | TX | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16298 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659429785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10601 GRANT RD",
"address_2": "SUITE 114",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704400",
"telephone_number": "832-334-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10601 GRANT RD",
"address_2": "SUITE 114",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704400",
"telephone_number": "832-334-9659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIJAH",
"first_name": "MARY",
"middle_name": "E",
"credential": "M.ED, LPC, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "16298",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "473013",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
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- Brian M Eliis, D.D.S.
- Elijah Medical Clinic
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- Elik Dialysis Hometherapy - Memorial, Inc
- Elena Elimova
- Julia Elina, M.S.,CCC-SLP
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.