Elizabeth Engelhorn, LMHC, NCC,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

00398 Issued in RI

Practice address

143 Industrial Pkwy
Clarksville, VA 23927-3140

Phone

(434) 572-6916

NPI assigned

Jun 13, 2007

Last updated

Feb 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Elizabeth Cooper-Moody Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Southside Behavioral Health

  • Community/Behavioral Health Agency
  • Clarksville, VA
  • NPI 1700890761
  Authorized official Same address or phone
• Southside Behavioral Health - Hope House

  • Intellectual Disabilities Intermediate Care Facility
  • La Crosse, VA
  • NPI 1730485905
  Authorized official Same address or phone

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1285838102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HALIFAX ST",
            "city": "PHENIX",
            "state": "VA",
            "postal_code": "239592915",
            "telephone_number": "434-208-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 INDUSTRIAL PKWY",
            "city": "CLARKSVILLE",
            "state": "VA",
            "postal_code": "239273140",
            "telephone_number": "434-572-6916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Halifax St",
            "address_purpose": "LOCATION",
            "city": "Phenix",
            "state": "VA",
            "postal_code": "239592915",
            "country_code": "US",
            "telephone_number": "434-208-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGELHORN",
        "first_name": "ELIZABETH",
        "credential": "LMHC, NCC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "00398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CRISIS",
            "identifier": "30343",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR CERTIFICATE",
            "identifier": "C166",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "821096198",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "COOPER-MOODY",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Community Memorial Healthcenter (Clarksville Primary Care Center)
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• Donna Kay Dawson, PT, PH.D.
• Carol Koch Dempsey
• Dominion Health Medical Assoc (Sentara Clarksville Family Medicine)
• Lacey Feezor, COTA/L
• Food Lion LLC (Food Lion Pharmacy #2620)
• Rasheena Goode
• Halifax Regional Hospital, Inc (Sentara Clarksville Family Medicine)
• Kirk Robert Hasenmueller, MD

• Mental Health Counselor in Clarksville, VA
• Providers in Clarksville, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.