Active NPI
Elizabeth Danielle Robin, LPC
- Professional Counselor
- Brookhaven, MS
National Provider Identifier
1083976088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1637
- Practice address
- 624 Highway 51 N
Brookhaven, MS 39601-2337 - Phone
- (601) 823-2345
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1637 | MS | Primary |
Addresses
Primary practice location
624 Highway 51 N
Brookhaven, MS 39601-2337
Mailing address
624 Highway 51 N
Brookhaven, MS 39601-2337
Phone (601) 823-2345
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1637 | MS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1083976088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 HIGHWAY 51 N",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012337",
"telephone_number": "601-823-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 HIGHWAY 51 N",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "396012337",
"telephone_number": "601-823-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBIN",
"first_name": "ELIZABETH",
"middle_name": "DANIELLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "1637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.