Tal Sadan Elitzur, LCPC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC7871 Issued in MD

Practice address

1680 E Gude Dr
Rockville, MD 20850-1360

Phone

(202) 812-0008

NPI assigned

May 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tali S Elitzur Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215465786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10207 MCKENNEY AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025003",
            "telephone_number": "202-812-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E GUDE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501360",
            "telephone_number": "202-812-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10207 McKenney Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209025003",
            "country_code": "US",
            "telephone_number": "202-812-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELITZUR",
        "first_name": "TAL",
        "middle_name": "SADAN",
        "name_prefix": "Mrs.",
        "credential": "LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC14936",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC7871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALI",
            "last_name": "ELITZUR",
            "middle_name": "S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Rockville, MD
• Providers in Rockville, MD by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.