Individual provider Active NPI

Elizabeth J Davies, M.S., LMHC, NBCC

  • Mental Health Counselor
  • Pompano Beach, FL
National Provider Identifier
1003065467
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5296 Issued in FL
Practice address
205 NW 6TH Avenue
Broward County Health Dept.
Pompano Beach, FL 33069
Phone
(954) 788-6051
Fax
(954) 788-6049
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH5296 FL Primary

Addresses

Primary practice location

205 NW 6TH Avenue
Broward County Health Dept.
Pompano Beach, FL 33069

Mailing address

5367 NW 4TH Avenue
Deerfield Beach, FL 33064
Phone (954) 571-8178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH5296FLMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1003065467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5367 NW 4TH AVENUE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-571-8178",
            "fax_number": "954-571-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NW 6TH AVENUE",
            "address_2": "BROWARD COUNTY HEALTH DEPT.",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33069",
            "telephone_number": "954-788-6051",
            "fax_number": "954-788-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.S., LMHC, NBCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.