ELISA ADDISON MFT
NPI 1649348624
Case Manager/Care Coordinator in San Jose, CA

Q: What is Elisa Addison's NPI number?

The NPI number for Elisa Addison is 1649348624. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Elisa Addison's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Elisa Addison was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 30, 2006PECOS Enrolled

2680 S WHITE RD STE 200, SAN JOSE, CA 95148(408) 755-3905 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elisa Addison Mft NPPES

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

ELISA ADDISON MFT (NPI 1649348624) is an individual case manager/care coordinator provider in San Jose, California and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649348624

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameELISA ADDISONCredential: MFT

Location Address2680 S WHITE RD STE 200San Jose, CA 95148-2079

Mailing Address2680 S White Rd Ste 200San Jose, CA 95148-2079 · (408) 755-3905

Phone(408) 755-3905

Sole ProprietorNo

Enumeration DateNovember 30, 2006

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1649348624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2680 S WHITE RD STE 200, San Jose, CA 95148

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Other Identifiers 1

Other41677CA · Santa Clara County Id#

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisa Addison Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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