Active NPI
Elizabeth Michell Whitesides, LPC, LCAS
- Professional Counselor
- Asheville, NC
National Provider Identifier
1316224561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9104
- Practice address
- 233 S French Broad Ave
Asheville, NC 28801 - Phone
- (828) 254-0749
- Fax
- (828) 254-0762
- NPI assigned
- Nov 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-2787 | NC | |
| Mental Health Counselor | 101YM0800X | 9104 | NC | |
| Professional Counselor | 101YP2500X | 9104 | NC | Primary |
Addresses
Primary practice location
233 S French Broad Ave
Asheville, NC 28801
Mailing address
500 Blue Ridge Rd
Black Mountain, NC 28711-8724
Phone (828) 707-5414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-2787 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 9104 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1316224561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 BLUE RIDGE RD",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287118724",
"telephone_number": "828-707-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 S FRENCH BROAD AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "28801",
"telephone_number": "828-254-0749",
"fax_number": "828-254-0762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDES",
"first_name": "ELIZABETH",
"middle_name": "MICHELL",
"name_prefix": "Ms.",
"credential": "LPC, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-15",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-2787",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "9104",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "9104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.