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ELYSSA MARIE ANDERSON MFT-I, CPC-I, CADC-I
NPI 1972955615
Counselor - Professional in Las Vegas, NV

Active since July 06, 2016PECOS Enrolled
4221 MCLEOD DR, LAS VEGAS, NV 89121(702) 474-6450 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elyssa Marie Anderson Mft-i, Cpc-i, Cadc-i NPPES

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

ELYSSA MARIE ANDERSON MFT-I, CPC-I, CADC-I (NPI 1972955615) is an individual professional provider in Las Vegas, Nevada, licensed in Nevada (C15112) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Las Vegas, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972955615
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELYSSA MARIE ANDERSONCredential: MFT-I, CPC-I, CADC-I
Location Address4221 MCLEOD DRLas Vegas, NV 89121-5215
Mailing Address4221 Mcleod DrLas Vegas, NV 89121-5215 · (702) 474-6450
Phone(702) 474-6450
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 6, 2016
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1972955615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NV · C15112
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 07180-LCI (NV)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MI4221 (NV)
4221 MCLEOD DR, Las Vegas, NV 89121
Open in Google Maps ↗

Secondary Practice Location 1

Location 11640 Alta Dr Ste 4Las Vegas, NV 89106-4165 · Phone (702) 474-6450

Other Identifiers 2

OtherPENDINGNV · Cadc-i
OtherPENDINGNV · Mft-i

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyssa Marie Anderson Mft-i, Cpc-i, Cadc-i is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062944382
PECOS Enrollment IDI20241011001129
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.

Other Providers at the Same Location NPPES 20

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

IRVIN SHUHEI GRANSTROM MFT-I, CADC-I
Marriage & Family Therapist
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
MR. DANIEL PAUL FICALORA MA
Counselor (Professional)
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
MS. MARY SARA FRIDMAN MSW, LCSW
Social Worker (Clinical)
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
DEVAN RYAN LANE
Case Manager/Care Coordinator
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
CIERA PRIMAS CPC-I, CADC-I
Counselor (Addiction (Substance Use Disorder))
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
MARIA ADELA KRAUSE
Counselor (Professional)
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
MARY CARTER CPC, CADC-I
Counselor (Professional)
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450
LISA LEIGH WILTON MS, MFT, LCADC
Marriage & Family Therapist
4221 MCLEOD DR
LAS VEGAS, NV 89121
Clark County (702) 474-6450

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 Elyssa Anderson's NPI number?

The NPI number for Elyssa Anderson is 1972955615. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Elyssa Anderson located?

Elyssa Anderson practices at 4221 Mcleod Dr, Las Vegas, NV 89121. The listed phone number is (702) 474-6450.

What is Elyssa Anderson's specialty?

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

Is Elyssa Anderson enrolled in Medicare?

Yes. Elyssa Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Elyssa Anderson accept?

Health plans from Ambetter from Arizona Complete Health and Providence Health Plan list Elyssa Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elyssa Anderson was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.