Marianne Alice Elden, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CMH0204321 Issued in NM

Practice address

1505 15TH St Ste C
Los Alamos, NM 87544-3000

Phone

(505) 662-4160

Fax

(505) 412-1301

NPI assigned

Sep 4, 2020

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

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1902410004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 KEARNY AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011915",
            "telephone_number": "386-212-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 15TH ST STE C",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443000",
            "telephone_number": "505-662-4160",
            "fax_number": "505-412-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDEN",
        "first_name": "MARIANNE",
        "middle_name": "ALICE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0204321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.