Elizabeth Ann Overpeck, MA, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH20147 Issued in FL

Practice address

300 Frandorson Cir Ste 200
Apollo Beach, FL 33572-2690

Phone

(813) 296-7911

NPI assigned

Aug 1, 2017

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Revolutionary Change Counseling LLC

  • Mental Health Counselor
  • Apollo Beach, FL
  • NPI 1811417645
  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1093239907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 DANUBE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322465513",
            "telephone_number": "850-445-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANDORSON CIR STE 200",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722690",
            "telephone_number": "813-296-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERPECK",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH20147",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CO",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Medical Group of Tampa Bay PA
• Orthopros PLLC (OrthoPros)
• Morsal Osmani, DO
• Jose Eduardo Osorio-Lopez, PA-C
• Outpatient Anesthesia Solutions LLC
• P3 Health Partners-FL LLC (P3 Health Partners Medical Group)
• Angel Christine Padgett, PCT
• Edgardo Pagan, DC
• Michael Pappas, FNP-BC
• Anya Patel, RPH

• Professional Counselor in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.