Active NPI
Elisse Florence Floyd, M.A.
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1811047483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC32675
- Practice address
- 2701 I St
Sacramento, CA 95816-4309 - Phone
- (916) 535-7822
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC32675 | CA | Primary |
Addresses
Primary practice location
2701 I St
Sacramento, CA 95816-4309
Mailing address
2711 I St
Sacramento, CA 95816-4353
Phone (916) 535-7822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFC32675 | Other | CA | BBSE LICENSE |
Other names 1
- Mrs. Elisse Johnson Floyd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC32675 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811047483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 I ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164353",
"telephone_number": "916-535-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 I ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164309",
"telephone_number": "916-535-7822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOYD",
"first_name": "ELISSE",
"middle_name": "FLORENCE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC32675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBSE LICENSE",
"identifier": "MFC32675",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELISSE",
"last_name": "FLOYD",
"middle_name": "JOHNSON",
"prefix": "MRS.",
"credential": "M.A.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.