MRS. ELISE MARIE MEDEROS M.A., LPC
NPI 1447439807
Counselor - Professional in Fort Worth, TX

Q: What is Elise Mederos's NPI number?

The NPI number for Elise Mederos is 1447439807. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Q: What is Elise Mederos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Elise Mederos was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2007

3815 LISBON ST, SUITE 202, FORT WORTH, TX 76107(817) 841-9110 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Elise Marie Mederos M.a., Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELISE MARIE MEDEROS M.A., LPC (NPI 1447439807) is an individual professional provider in Fort Worth, Texas, licensed in Texas (60605) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1447439807

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. ELISE MARIE MEDEROSCredential: M.A., LPC

Location Address3815 LISBON ST, SUITE 202Fort Worth, TX 76107-5601

Mailing Address2016 Thomas PlFort Worth, TX 76107-3941 · (817) 851-2594

Phone(817) 841-9110

Sole ProprietorNo

Enumeration DateNovember 1, 2007

Last NPPES UpdateMay 5, 2016

✔ NPI 1447439807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 60605

3815 LISBON ST, Fort Worth, TX 76107

Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIMBERLY ANN SLAVICH HURD LPC

Counselor (Professional)

3815 LISBON ST
FORT WORTH, TX 76107

Tarrant County (817) 320-2094

MS. DAPHNE ELIZABETH WILSON MSSW

Social Worker (Clinical)

3815 LISBON ST, SUITE 202
FORT WORTH, TX 76107

Tarrant County (817) 738-3171

MARY BASSETT COSTAS L.P.C.

Counselor (Professional)

3815 LISBON ST, SUITE 202
FORT WORTH, TX 76107

Tarrant County (817) 738-4660

MRS. EMILY DUGGAN MILLS MICHERO LPC

Counselor (Professional)

3815 LISBON ST, SUITE 202
FORT WORTH, TX 76107

Tarrant County (817) 808-5120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elise Mederos's NPI number?

The NPI number for Elise Mederos is 1447439807. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Elise Mederos located?

Elise Mederos practices at 3815 Lisbon St Suite 202, Fort Worth, TX 76107. The listed phone number is (817) 841-9110.

What is Elise Mederos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Elise Mederos was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.