Elizannite Marie Davila Roman, LADCII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20661 Issued in MA

Practice address

1380 Main St Ste 415
Springfield, MA 01103-1440

Phone

(413) 459-8655

Fax

(413) 455-2708

NPI assigned

Sep 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holistic Allies, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1891270120
  NPD

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1023787389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 MAIN ST STE 415",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031440",
            "telephone_number": "413-459-8655",
            "fax_number": "413-455-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 MAIN ST STE 415",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031440",
            "telephone_number": "413-459-8655",
            "fax_number": "413-455-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA ROMAN",
        "first_name": "ELIZANNITE",
        "middle_name": "MARIE",
        "credential": "LADCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "20661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS",
            "identifier": "S87753442",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "holistictelementalhealth@yahoo.com",
            "affiliation": "N",
            "address_1": "1380 Main St Ste 415",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011031440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David a Hirsh & Associates
• David Chadbourne
• David G Doctor MD Orthopaedics and Sports Medicine PC
• Aaliyah Skye David
• Adam J David, M.D.
• Daira Davila-Vargas
• Crystat Davila
• Janet Davila
• Jenny Balbuena Davila
• Karla Davila

• Addiction (Substance Use Disorder) Counselor in Springfield, MA
• Providers in Springfield, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.