Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972955615 Individual Practitioner Female Practitioner

Elyssa Marie Anderson , MFT-I, CPC-I, CADC-I

Counselor - Professional • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Elyssa Anderson, MFT-I, CPC-I, CADC-I is a certified Counselor - Professional practicing in Las Vegas, NV. With approximately 7 years of clinical experience since completing medical education in 2019, Elyssa Anderson delivers high-quality medical care to the local community at 4221 MCLEOD DR.

Elyssa Anderson is affiliated with Lisa A Durette Md Pllc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4221 Mcleod Dr

Las Vegas, NV 891215215

Telephone 7024746450
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Las Vegas, NV

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -2.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
293 Specialists

Practicing in Las Vegas, NV (468 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anderson (7 Years) 7 Yrs
Las Vegas Specialty Average (9.1 Years) 9.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-06-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License NV C15112

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License NV 07180-LCI

Definition to come...

Marriage & Family Therapist

NUCC Taxonomy Code: 106H00000X

State License NV MI4221

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Cadc-I
PENDING (NV)
Commercial Insurance / Payer ID Mft-I
PENDING (NV)

Hospital & Practice Group Affiliations

Lisa A Durette Md Pllc

552 E Charleston Blvd, Las Vegas, NV 891041319

Phone: 7024408440

Secondary Practice Locations

1640 Alta Dr Ste 4

Las Vegas, NV 891064165

Phone: 7024746450

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Rachel Williams , MSW

Social Worker - Clinical

NPI 1003473422

Master of Social Work

Irvin Granstrom , MFT-I, CADC-I

Marriage & Family Therapist

NPI 1003519463

MFTI, CADCI

Yamilex Pacheco , BA

Case Manager/Care Coordinator

NPI 1013683143

Bachelor of Arts

Eliza Jeoules Geminiano

Case Manager/Care Coordinator

NPI 1033062658
Melissa Ceballos

Marriage & Family Therapist

NPI 1053277822
Daniel Ficalora , MA

Counselor - Professional

NPI 1063719813

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated June 13, 2023

Recorded as ELYSSA ANDERSON, MFT-I, CPC-I, CADC-I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2023

Counselor (License #07180-LCI in NV)

📍
Updated Practice Location March 28, 2022

Registered at 4221 MCLEOD DR, LAS VEGAS, NV 891215215 (Tel: 7024746450)

📍
Updated Business Mailing Address March 28, 2022

Registered at 4221 MCLEOD DR, LAS VEGAS, NV 891215215 (Tel: 7024746450)

👤
Provider Name / Credentials Updated March 28, 2022

Recorded as ELYSSA ANDERSON, MFT-I, CADC-I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2022

Counselor

NPI Profile Active July 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2016

Registered at 11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 906703681 (Tel: 5629498455)

📍
Updated Business Mailing Address July 07, 2016

Registered at 11741 TELEGRAPH RD, SANTA FE SPRINGS, CA 906703681

👤
Provider Name / Credentials Updated July 07, 2016

Recorded as ELYSSA ANDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972955615
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2016
Last Update: June 13, 2023
Sole Proprietor: No

Mailing Address

4221 Mcleod Dr

Las Vegas, NV 891215215

Phone: 7024746450

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.