Organization Active NPI

Elizabeth Nelson LPC

  • Professional Counselor
  • Overland Park, KS
National Provider Identifier
1992174916
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2813 Issued in KS
Legal business name
ELIZABETH NELSON LPC
Doing business as
re:Vive
Practice address
11030 Oakmont St
Suite 200 a
Overland Park, KS 66210-1100
Phone
(913) 396-9428
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Nelson, LPC
Title
Licensed Professional Counselor
Phone
(913) 396-9428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 2813 KS Primary

Addresses

Primary practice location

11030 Oakmont St
Suite 200 a
Overland Park, KS 66210-1100

Mailing address

11030 Oakmont St
Suite 200 a
Overland Park, KS 66210-1100

Other names 1

  • re:Vive Doing business as

National Provider Directory

National Provider Directory

Locations

11030 Oakmont St
Ste 200
Overland Park, KS 66210
Phone (913) 396-9428

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1992174916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 OAKMONT ST",
            "address_2": "SUITE 200 A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 OAKMONT ST",
            "address_2": "SUITE 200 A",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101100",
            "telephone_number": "913-396-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH NELSON LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "913-396-9428",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "re:Vive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.