Individual provider Active NPI

Elizabeth A. Houde, MFT

  • Marriage & Family Therapist
  • Warwick, RI
National Provider Identifier
1669513719
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT00068 Issued in RI
Practice address
2905 Post Rd
Warwick, RI 02886-3174
Phone
(401) 732-1999
Fax
(401) 822-0875
NPI assigned
Feb 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Marriage & Family Therapist 106H00000X MFT00068 RI Primary

Addresses

Primary practice location

2905 Post Rd
Warwick, RI 02886-3174

Mailing address

43 Hathaway Dr
West Warwick, RI 02893-5417
Phone (401) 822-1094

Other identifiers 1

IdentifierTypeStateIssuer
23806-3OtherRIBLUE CROSS

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

LicenseStateTypeSpecialty
MFT00068RIMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669513719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HATHAWAY DR",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028935417",
            "telephone_number": "401-822-1094",
            "fax_number": "401-822-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028863174",
            "telephone_number": "401-732-1999",
            "fax_number": "401-822-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDE",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MFT00068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "23806-3",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

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.