Individual provider Active NPI

Elizabeth Lewis Mitchell, LPC

  • Counselor
  • Birmingham, AL
National Provider Identifier
1285267633
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3911 Issued in AL
Practice address
2320 Highland Ave S Ste 290D
Birmingham, AL 35205-2962
Phone
(205) 568-4649
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3911 AL Primary

Addresses

Primary practice location

2320 Highland Ave S Ste 290D
Birmingham, AL 35205-2962

Mailing address

3004 13TH Ave S Apt 1
Birmingham, AL 35205-2081
Phone (205) 568-4649

Other practice location 1

300 Office Park Dr Ste 220
Mountain Brk, AL 35223-2473
Phone (205) 538-3099

Other names 1

  • Miss Elizabeth Anne Lewis Former name

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
3911ALMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elm Counseling Counselor CurrentSince Mar 7, 2021 Accepting new patients

Locations

2320 Highland Ave S
Ste 290D
Birmingham, AL 35205
Phone (205) 568-4649

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": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1285267633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 13TH AVE S APT 1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052081",
            "telephone_number": "205-568-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HIGHLAND AVE S STE 290D",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052962",
            "telephone_number": "205-568-4649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Office Park Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mountain Brk",
            "state": "AL",
            "postal_code": "352232473",
            "country_code": "US",
            "telephone_number": "205-538-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ELIZABETH",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2021-03-02",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LEWIS",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.