Elise W. Artelt, LMFT

Key facts

NPI

1740499896

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

MF000170 (PA)

Practice address

124 Eaton Dr
Wayne, PA 19087-3806

Phone

(610) 585-0066

Fax

(610) 964-1096

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740499896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 EATON DR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873806",
            "telephone_number": "610-585-0066",
            "fax_number": "610-964-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 EATON DR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873806",
            "telephone_number": "610-585-0066",
            "fax_number": "610-964-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTELT",
        "first_name": "ELISE",
        "middle_name": "W.",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Wayne, PA · Marriage & Family Therapist in Pennsylvania