Individual provider Active NPI

Elizabeth Darlene Drew, L.P.C.

  • Professional Counselor
  • Frisco, TX
National Provider Identifier
1164570677
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16667 Issued in TX
Practice address
4645 Avon LN
Ste 190B
Frisco, TX 75033-1549
Phone
(972) 259-0109
Fax
(469) 777-3812
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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 16667 TX Primary

Addresses

Primary practice location

4645 Avon LN
Ste 190B
Frisco, TX 75033-1549

Mailing address

1401 Marines Dr
Little Elm, TX 75068-0919
Phone (972) 832-9199

Other identifiers 1

IdentifierTypeStateIssuer
168624801MedicaidTX

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

LicenseStateTypeSpecialty
16667TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sereneco Wellness Center LLC CurrentSince Sep 4, 2022 Accepting new patients
Sereneco Wellness Professional CurrentSince Sep 27, 2020 Accepting new patients

Locations

4645 Avon Ln
Ste 190B
Frisco, TX 75033
Phone (972) 259-0109

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1164570677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MARINES DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750680919",
            "telephone_number": "972-832-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN",
            "address_2": "STE 190B",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331549",
            "telephone_number": "972-259-0109",
            "fax_number": "469-777-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "ELIZABETH",
        "middle_name": "DARLENE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168624801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.