ELYCE ELDER (NPI# 1285992958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285992958 |
| Entity Type | Individual |
| Full Name | ELYCE ELDER |
| Credential | MAAT, CADAC IV, LCAC |
| Practice Address |
602 Sanders St Indianapolis IN 46203-1853 |
| Practice Telephone | 3175367100 |
| Practice Fax Number | 3175367101 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
87000024A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | LCAC | 87000024A | 01 |
| IN | CAQH | 12313276 | 01 |
| Street Address |
602 SANDERS ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46203-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362665 | Yvonne Irene Wince | Pharmacist | 608 Twin Aire Dr, Indianapolis, IN 46203 | 2019-12-04 |
| 1730635681 | Kensie Waller | Registered Nurse | 3834 S. Emerson Ave, Bldg C, Ste 100, Indianapolis, IN 46203 | 2016-08-31 |
| 1629285820 | 21st Century Charter School At Fountain Square | Local Education Agency (LEA) | 1615 South Barth Ave, Indianapolis, IN 46203 | 2007-05-17 |
| 1912124918 | Richard Walter James | Chiropractor | 3850 S Emerson, Suite F, Indianapolis, IN 46203 | 2007-04-19 |
| 1245386655 | Gary Richard Billingsley | Chiropractor | 4940 S Emerson Ave, Indianapolis, IN 46203 | 2007-01-26 |
| 1952452815 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2630 S Keystone Ave, Indianapolis, IN 46203 | 2007-01-16 |
| 1245324755 | Rtc Resource Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 1404 South State Avenue, Indianapolis, IN 46203 | 2006-10-02 |
| 1548776925 | Erin Tofani | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2017-12-20 |
| 1114464575 | Abigail G Boris | Registered Nurse | 3834 S Emerson Ave, Bldg C Ste 100, Indianapolis, IN 46203 | 2017-01-24 |
| 1285184481 | Kelli Joy Bovenkerk | Nurse Practitioner | 3834 S Emerson Ave, Building C, Suite 100, Indianapolis, IN 46203 | 2016-10-12 |
| Find all providers in zip 46203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828922 | Yvette Markey | Counselor | 1001 Eugene St, Indianapolis, IN 46208-4930 | 2020-10-13 |
| 1982216917 | A Safe Home LLC | Counselor | 6201 La Pas Trl Ste 170, Indianapolis, IN 46268-2573 | 2020-08-20 |
| 1295378941 | Adriaka Tina Jackson | Counselor | 5868 E 71st St Ste E-630, Indianapolis, IN 46220-4075 | 2019-10-25 |
| 1356991434 | Kimberly Curry | Counselor | 506 W 26th St, Indianapolis, IN 46208-5518 | 2019-09-19 |
| 1154976546 | Carmen Kennedy | Counselor | 4710 E 30th St, Indianapolis, IN 46218-3109 | 2019-08-02 |
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1154983583 | Ava Richardson | Counselor | 4072 Sawyer St, Indianapolis, IN 46226-4953 | 2019-07-05 |
| 1912461823 | Experience, Strength, Hope, LLC. | Counselor | 4954 E 56th St Ste 8, Indianapolis, IN 46220-5769 | 2019-01-24 |
| 1407322076 | Progress House, Inc. | Counselor | 201 Shelby St, Indianapolis, IN 46202-3943 | 2018-10-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46203 |
Please comment or provide details below to improve the information on ELYCE ELDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.