Elisa Canovese, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

104711 Issued in CA

Practice address

1706 Plum LN Ste 110
Redlands, CA 92374-4578

Phone

(909) 553-2573

NPI assigned

Feb 22, 2018

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 and National Provider Directory roles.

• Caroline Daravi

  • Group Psychotherapy Psychologist
  • Redland, CA
  • NPI 1053855783
  NPD

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1982105367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 PLUM LN STE 110",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744578",
            "telephone_number": "909-307-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PLUM LN STE 110",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744578",
            "telephone_number": "909-553-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANOVESE",
        "first_name": "ELISA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Campos, PPS
• Sharyl E Canahuati
• Karen J Canales-Montejo
• Judy Lorena Canales, LCSW
• Angela M Candelaria, ACSW
• Janet Cantada
• Manuel A Cantun, MD
• Canyon View Country Home, Inc
• Canyon View Pacific Home, Inc
• Hannah Capps, MSW

• All providers in Redlands, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.