Lateisha Elliott, DBH, MS, LPC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4064 Issued in AL

Practice address

509 Madison St SE
Huntsville, AL 35801-4206

Phone

(256) 658-9123

NPI assigned

Nov 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1770129892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHASE LAKE TRL",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358118139",
            "telephone_number": "256-658-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MADISON ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014206",
            "telephone_number": "256-658-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LATEISHA",
        "name_prefix": "Dr.",
        "credential": "DBH, MS, LPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "4064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HUNTSVILLE",
            "affiliation": "N",
            "address_1": "509 Madison St SE",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358014206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffani Elkourie, CRNP
• Leslie K Elledge, CRNA
• Philip B Elledge, DMD
• Elliot L Marcus MD PC
• Jane-Anne Elliott, DNP, FNP-C
• Leigh Ellen Elliott, PHARM D
• Ronnie Elliott
• Ellis Dentistry LLC
• Barbara Helen Ellis, RPT
• Chelsea E Ellis, RBT-24-372929

• Professional Counselor in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; 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.