Individual provider Active NPI

Elizabeth A Wester, LPC

  • Professional Counselor
  • Jacksonville, NC
National Provider Identifier
1043338437
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3680 Issued in NC
Practice address
1703 Country Club Rd Ste 204
Jacksonville, NC 28546-6006
Phone
(910) 347-3010
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3680 NC Primary

Addresses

Primary practice location

1703 Country Club Rd Ste 204
Jacksonville, NC 28546-6006

Mailing address

1703 Country Club Rd Ste 204
Jacksonville, NC 28546-6006
Phone (910) 347-3010

Other identifiers 2

IdentifierTypeStateIssuer
610-4349MedicaidNC
61781789MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627002155 NC Practitioner - Mental Health Counselor 1355770488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Psychological and Psychiatric Health SRVS PAGroup PAC ID 9436059219, 17 clinicians

Practice addresses (Care Compare)

1703 Country Club Rd
Suite 204
Jacksonville, NC 28546-6006
Phone (910) 347-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Psychological and Psychiatric Health SRVS, PA Professional CurrentSince Apr 5, 2024 Accepting new patients
Resolutions Counseling and Mediation Services, PLLC PastSince Apr 5, 2024 Accepting new patients

Locations

1703 Country Club Rd
Ste 204
Jacksonville, NC 28546
Phone (910) 347-3010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1043338437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD STE 204",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466006",
            "telephone_number": "910-347-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD STE 204",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466006",
            "telephone_number": "910-347-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "3680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610-4349",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61781789",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.