Active NPI
Edward Byers Elder, M.H.S., M.DIV.
- Marriage & Family Therapist
- New York, NY
National Provider Identifier
1851509673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 640
- Practice address
- 19 W 34TH St
Suite 1200
New York, NY 10001-3006 - Phone
- (212) 947-7111
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1469 | NY | |
| Marriage & Family Therapist | 106H00000X | 640 | NY | Primary |
Addresses
Primary practice location
19 W 34TH St
Suite 1200
New York, NY 10001-3006
Mailing address
377 Douglass St Apt 1B
Brooklyn, NY 11217-4500
Phone (718) 789-1149
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1469 | NY | MD | Mental Health Counselor |
| 640 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1851509673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 DOUGLASS ST APT 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112174500",
"telephone_number": "718-789-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 34TH ST",
"address_2": "SUITE 1200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013006",
"telephone_number": "212-947-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "EDWARD",
"middle_name": "BYERS",
"name_prefix": "Mr.",
"credential": "M.H.S., M.DIV.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "1469",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.