Elaine Althea Nelson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14958 Issued in FL

Practice address

1041 45TH St
Mangonia Park, FL 33407-2402

Phone

(561) 383-8000

NPI assigned

Jun 18, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elaine Althea Reid Former name

Electronic endpoints 1

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1720648017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 45TH ST",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072402",
            "telephone_number": "561-383-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 45TH ST",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072402",
            "telephone_number": "561-383-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11184 Brandywine Lake Way",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334734888",
            "country_code": "US",
            "telephone_number": "561-900-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ELAINE",
        "middle_name": "ALTHEA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "MH14958",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "enelson@goldenctr.org",
            "affiliation": "Y",
            "endpointDescription": "Business e-mail address",
            "affiliationName": "The Jerome Golden Center for Behavioral Health, Inc.",
            "address_1": "1041 45th St",
            "city": "Mangonia Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334072402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "REID",
            "middle_name": "ALTHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Mangonia Park, FL
• Providers in Mangonia Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.