Eileen M Elliott, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1726 Issued in WV

Practice address

16 Walnut St
Middletown, MD 21769-8019

Phone

(301) 371-3707

Fax

(301) 371-3706

NPI assigned

Jul 13, 2006

Last updated

Jun 13, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Mountain Counseling Services, LLC

  • Mental Health Counselor
  • Middletown, MD
  • NPI 1710910377
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1811912181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WALNUT ST",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698019",
            "telephone_number": "301-371-3707",
            "fax_number": "301-371-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WALNUT ST",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217698019",
            "telephone_number": "301-371-3707",
            "fax_number": "301-371-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "EILEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1639",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "1726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Suzanne Coda, CRNP
• Brittany Coffman, PA-C, CPM
• Emily Cook
• Delauter Health, LLC
• Michelle Virginia Disney, CPM
• Evergreen Health and Life
• Grace Lee Falkenstein, PHARMD
• Erin Alice Farrish, MD
• Andrew Ferguson, LCSW-C
• Kristie L Franklin, LGPC

• Professional Counselor in Middletown, MD
• Providers in Middletown, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.