Individual provider Active NPI

Elizabeth Suraci, MS, LPC,NCC

  • Professional Counselor
  • New Haven, CT
National Provider Identifier
1235454810
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
000679 Issued in CT
Practice address
1302 Chapel St
AIDS Project New Haven
New Haven, CT 06511-4515
Phone
(203) 624-0947
Fax
(203) 401-4457
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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 000679 CT Primary

Addresses

Primary practice location

1302 Chapel St
AIDS Project New Haven
New Haven, CT 06511-4515

Mailing address

172 Fountain St
Elizabeth Suraci
New Haven, CT 06515
Phone (203) 887-3251

Other names 1

  • Betsy Suraci Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 17, 2024 through Dec 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000679CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Apnh: a Place to Nourish Your Health Professional PastSince Jan 1, 2014 Accepting new patients

Organizations & group practices 1

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1235454810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 FOUNTAIN ST",
            "address_2": "ELIZABETH SURACI",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06515",
            "telephone_number": "203-887-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 CHAPEL ST",
            "address_2": "AIDS PROJECT NEW HAVEN",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114515",
            "telephone_number": "203-624-0947",
            "fax_number": "203-401-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURACI",
        "first_name": "ELIZABETH",
        "credential": "MS, LPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "SURACI",
            "credential": "MS,LPC,NCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.