Individual provider Active NPI

Elizabeth R. Khuri, MA,LPC

  • Mental Health Counselor
  • Beachwood, OH
National Provider Identifier
1265988133
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C0800397 Issued in OH
Practice address
23250 Chagrin Blvd Ste 425
Beachwood, OH 44122-5445
Phone
(216) 464-4243
NPI assigned
Aug 30, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C0800397 OH Primary

Addresses

Primary practice location

23250 Chagrin Blvd Ste 425
Beachwood, OH 44122-5445

Mailing address

23250 Chagrin Blvd Ste 425
Beachwood, OH 44122-5445
Phone (216) 464-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618000774 OH Practitioner - Mental Health Counselor 4486165230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Point Medical Group, LLCGroup PAC ID 6002177342, 6 clinicians

Practice addresses (Care Compare)

15800 Detroit Ave
Suite a
Lakewood, OH 44107-3749
Phone (216) 316-2386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0800397OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Point Medical Group, LLC CurrentSince Apr 4, 2025 Accepting new patients
Ellen F. Casper, PH.D. and Associates Mental Health Past Accepting new patients

Locations

15800 Detroit Ave
Lakewood, OH 44107
Phone (216) 227-2194

15800 Detroit Ave
Ste A
Lakewood, OH 44107
Phone (216) 226-8700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1265988133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD STE 425",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225445",
            "telephone_number": "216-464-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23250 CHAGRIN BLVD STE 425",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225445",
            "telephone_number": "216-464-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURI",
        "first_name": "ELIZABETH",
        "middle_name": "R.",
        "credential": "MA,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C0800397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.