TEAM ELEVATE, LLC (NPI# 1467983031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467983031 |
| Entity Type | Organization |
| Organization Name | TEAM ELEVATE, LLC |
| Other Organization Name | ELEVATE |
| Practice Address |
807 Henderson Ave Orange TX 77630-6325 |
| Mailing Address |
807 Henderson Ave Orange TX 77630 |
| Practice Telephone | 4098832273 |
| Mailing Telephone | 4098832273 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | DR. ERYN LUCAS (MANAGING MEMBER) |
| Authorized Official Telephone | 4098832273 |
| Authorized Official Credential | LICENSED PSYCHOL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 65169 | TX | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 34297 | TX | Behavioral Health & Social Service Providers |
| Y | 225X00000X | Occupational Therapist | 114089 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Elevate | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TEAM ELEVATE, LLC | 807 Henderson Avenue, Orange, TX 77630-6325 |
| Street Address |
807 HENDERSON AVE |
| City | ORANGE |
| State | TX |
| Zip Code | 77630-6325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194959593 | Eryn M Lucas | Psychologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2009-05-13 |
| 1790305969 | Alyssa B Gilman | Speech-Language Pathologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2020-04-17 |
| 1316585698 | Shelby Dale Johnson | Behavioral Analyst | 807 Henderson Ave, Orange, TX 77630-6325 | 2019-12-17 |
| 1043865736 | Tina Maria Smith | Counselor | 807 Henderson Ave, Orange, TX 77630-6325 | 2019-08-08 |
| 1871025759 | Martha Hale | Behavioral Analyst | 807 Henderson Ave, Orange, TX 77630 | 2017-03-30 |
| 1588100309 | Queamani Mickens | Psychologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2017-01-18 |
| 1386195121 | Family & Psychological Center | Psychologist | 807 Henderson Ave, Orange, TX 77630-6325 | 2016-10-17 |
| 1881140986 | Navicare, LLC | Case Management | 807 Henderson Ave, Orange, TX 77630-6325 | 2016-08-29 |
| 1306110879 | Joyce Glyn Moore | Counselor | 807 Henderson Ave, Orange, TX 77630-6325 | 2012-03-01 |
| 1467743385 | Amanda Gail Adams | Occupational Therapist | 807 Henderson Ave, Orange, TX 77630-6325 | 2011-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685159 | Healthcare Warehouse, LLC | Durable Medical Equipment & Medical Supplies | 3515 Mockingbird St. Ste C, Orange, TX 77630 | 2014-02-19 |
| 1346688637 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 1302 Cypress St., Orange, TX 77630 | 2013-06-07 |
| 1740567510 | Mary Cannatella | Pharmacist | 1408 16th Street, Orange, TX 77630 | 2011-11-08 |
| 1811292642 | Inlightened Safe Haven | Contractor | 828 Nth 28th St., Orange, TX 77630 | 2011-01-26 |
| 1437472107 | Frank's Medical Mart, Inc | Durable Medical Equipment & Medical Supplies | 1619 Strickland Dr, Orange, TX 77630 | 2010-03-09 |
| 1952427403 | Assisted Living Concepts Inc | Assisted Living Facility | 5301 Meeks Drive, Orange, TX 77630 | 2007-03-22 |
| 1013033364 | Ronda Lynn Hathaway | Psychologist | 2495 N Mlk Dr, Orange, TX 77630 | 2007-03-21 |
| 1487790333 | The Eye Place, Inc. | Eyewear Supplier (Equipment, not the service) | 1502 Strickland Dr Ste 2, Orange, TX 77630 | 2007-01-29 |
| 1538220710 | Sheila R Cole | Nurse Practitioner | 2014 N.10th St., Orange, TX 77630 | 2006-12-12 |
| 1063583896 | Nina P Scales Leifeste | Dentist | 1509 Burton, Orange, TX 77630 | 2006-11-13 |
| Find all providers in zip 77630 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871128785 | Alexander Esena | Occupational Therapist | 463 Lakeside Ave, Orange, NJ 07050-1811 | 2020-03-11 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1952866444 | Steffi Ellein Rivera De Leon | Occupational Therapist | 6938 E Monaco Pkwy, Orange, CA 92867-6462 | 2019-02-08 |
| 1922505528 | Hayley Spragg | Occupational Therapist | 966 Derby Milford Rd, Orange, CT 06477-1029 | 2018-04-10 |
| 1003311523 | Andrea Faugstad | Occupational Therapist | 322 E Palmyra Ave, Orange, CA 92866-2048 | 2018-03-27 |
| 1871029157 | Jessica Jin | Occupational Therapist | 2702 N Kent St, Orange, CA 92867-2270 | 2017-05-05 |
| 1497112221 | Jacqueline Dy | Occupational Therapist | 323 W Pebble Creek Ln, Orange, CA 92865-1096 | 2016-01-25 |
| 1841657095 | Denise Marie Butt | Occupational Therapist | 489 Carriage Dr, Orange, CT 06477-2917 | 2016-01-19 |
| 1114307113 | Maryam Abass | Occupational Therapist | 331 Central Ave, 1, Orange, NJ 07050-2407 | 2015-06-04 |
| 1467845503 | Michelle Pomar | Occupational Therapist | 190 Margaret Ln, Orange, CT 06477-3512 | 2015-03-13 |
| Find all providers in ORANGE | ||||
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| 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.