Active NPI
Elizabeth Nelson LPC
- Professional Counselor
- Overland Park, KS
National Provider Identifier
1992174916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2813
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.