Elysia Ergle, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3594 Issued in AL

Practice address

1801 N Wood Ave
Florence, AL 35630-2156

Phone

(256) 766-9804

Fax

(256) 764-8444

NPI assigned

Oct 4, 2016

Last updated

Nov 20, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Phoenix Counseling and Resources, LLC

  • Community/Behavioral Health Agency
  • Florence, AL
  • NPI 1144839408
  NPD Authorized official

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1902356728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N WOOD AVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302156",
            "telephone_number": "256-766-9804",
            "fax_number": "256-764-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N WOOD AVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302156",
            "telephone_number": "256-766-9804",
            "fax_number": "256-764-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 N Court St",
            "address_2": "Suite 216",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356304670",
            "country_code": "US",
            "telephone_number": "256-275-6066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERGLE",
        "first_name": "ELYSIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Florence, AL
• Providers in Florence, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.