Cezanne Maisel Elias, CLINICAL SOCIAL

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

35001672A Issued in IN

Practice address

3660 Rome Dr
Lafayette, IN 47905-4488

Phone

(765) 446-9394

Fax

(765) 447-8875

NPI assigned

Aug 16, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alpine Clinic, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, IN
  • NPI 1548274202

  Marriage & Family Therapist

  NPD (past)
• Alpine Physicians, LLC

  • Psychiatry Physician
  • Lafayette, IN
  • NPI 1225554801
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1801175294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 ROME DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054488",
            "telephone_number": "765-446-9394",
            "fax_number": "765-447-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 ROME DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054488",
            "telephone_number": "765-446-9394",
            "fax_number": "765-447-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "CEZANNE",
        "middle_name": "MAISEL",
        "credential": "CLINICAL SOCIAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001672A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osayame Austine Ekhaguere, MB, BS, MD, MPH
• Nizar El-Khalili, M.D.
• Elder'S Journey Home Care of Lafayette, LLC
• Elements Counseling LLC
• Elevate Senior Services
• Laura Elicker, RBT
• Elite Physical Therapy and Sports Medicine LLC
• Elite Therapy Corp
• Cathy Ann Ellingwood, PTA
• Alex J Ellison, MD

• Marriage & Family Therapist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.