Avedon Elliott, LPC80053
NPI 1902228653ActiveIndividual· Counselor, Mental Health· Fort Myers, FL
Counselor, Mental Health (LPC80053) with McCd Fl Psychiatry Services PA and 1 other group, practicing in Fort Myers, Florida. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1902228653 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC80053 |
| Sole proprietor | No |
| NPI issued | Jan 15, 2014 |
| Last updated in NPPES | May 12, 2023 |
| Certified by provider | Sep 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | 80053 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (TX) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical groups
- McCd Fl Psychiatry Services PATallahassee, FL · 801 clinicians
- Bent Tree Psychiatric AssocDallas, TX · 45 clinicians
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All 424 mental health counselors in Fort Myers · All mental health counselors in Florida