Individual provider Active NPI

Elizabeth Pitchford, M.A., LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1285047704
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2380 Wycliff St Ste 102
Saint Paul, MN 55114
Phone
(651) 647-1083
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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 Primary

Addresses

Primary practice location

2380 Wycliff St Ste 102
Saint Paul, MN 55114

Mailing address

2380 Wycliff St Ste 102
Saint Paul, MN 55114-1257
Phone (651) 647-1083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240313001104 MN Practitioner - Mental Health Counselor 9032555032 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1632MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Society of Minnesota CurrentSince Jan 29, 2024 Accepting new patients

Locations

2380 Wycliff St
Ste 102
Saint Paul, MN 55114
Phone 6516471083 ext. 17

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1285047704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141257",
            "telephone_number": "651-647-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 WYCLIFF ST STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-647-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCHFORD",
        "first_name": "ELIZABETH",
        "credential": "M.A., LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.