Active NPI
Elevate Counseling Center, LLC
- Mental Health Counselor
- Santa Clara, CA
National Provider Identifier
1770169633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ELEVATE COUNSELING CENTER, LLC
- Practice address
- 1588 Homestead Rd Mib 5
Santa Clara, CA 95050-4783 - Phone
- (408) 288-4767
- Fax
- (408) 249-2291
- NPI assigned
- Mar 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah Ann Licurse, MFT, M.A.
- Title
- Owner/ Director
- Phone
- (408) 288-5767
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1588 Homestead Rd Mib 5
Santa Clara, CA 95050-4783
Mailing address
1588 Homestead Rd Mib 5
Santa Clara, CA 95050-4783
Phone (408) 288-4767
National Provider Directory
National Provider Directory- Tax ID family
- Elevate Counseling Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Clara, CA
- NPI 1508457177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Jose, CA
- NPI 1457487670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616371200000",
"number": "1770169633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1588 HOMESTEAD RD MIB 5",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504783",
"telephone_number": "408-288-4767",
"fax_number": "408-249-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1588 HOMESTEAD RD MIB 5",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504783",
"telephone_number": "408-288-4767",
"fax_number": "408-249-2291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATE COUNSELING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A",
"authorized_official_last_name": "LICURSE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/ DIRECTOR",
"authorized_official_telephone_number": "408-288-5767",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MFT, M.A."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.