Elisa Amaris Niles Thorne, L.M.H.C., N.C.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11000 Issued in FL

Practice address

2571 N Toledo Blade Blvd Unit 2
North Port, FL 34289-9351

Phone

(407) 270-2491

NPI assigned

Jul 18, 2012

Last updated

Apr 26, 2023By 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

Other names 1

• Elisa Amaris Niles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Soundmind Counseling & Consulting Services, LLC.

  • Mental Health Counselor
  • North Port, FL
  • NPI 1972292076
  NPD Authorized official

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1972858702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 N TOLEDO BLADE BLVD UNIT 2",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899351",
            "telephone_number": "407-270-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 N TOLEDO BLADE BLVD UNIT 2",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899351",
            "telephone_number": "407-270-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES THORNE",
        "first_name": "ELISA",
        "middle_name": "AMARIS",
        "credential": "L.M.H.C., N.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISA",
            "last_name": "NILES",
            "middle_name": "AMARIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Staci Nesci
• Beverly Newcomb
• Kathleen Louise Newland, MSW
• Thu Hang Nguyen
• Betsy Phara Nicolas
• Taoume Noel, FNP
• Victoria Noonan
• North Port Acupuncture Inc
• North Port BH, LLC (North Port Behavioral Health)
• North Port Chiropractic, Inc. (North Port Chiropractic)

• Mental Health Counselor in North Port, FL
• Providers in North Port, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.