Individual provider Active NPI

Elizabeth Mary Efua Wilmot, MS, LPC

  • Professional Counselor
  • Bellaire, TX
National Provider Identifier
1376314724
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88953 Issued in TX
Practice address
6300 West Loop S Ste 110
Bellaire, TX 77401-2919
Phone
(832) 924-0348
Fax
(832) 852-5754
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88953 TX
Professional Counselor 101YP2500X 88953 TX Primary

Addresses

Primary practice location

6300 West Loop S Ste 110
Bellaire, TX 77401-2919

Mailing address

6300 West Loop S Ste 110
Bellaire, TX 77401-2919
Phone (832) 924-0348

Other practice location 1

1638 W Alabama St
Houston, TX 77006-4102
Phone (713) 628-8197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240926001219 TX Practitioner - Mental Health Counselor 4385185636 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88953TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bellaire Ellie Clinic PC Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

6300 West Loop S
Ste 110
Bellaire, TX 77401
Phone (832) 924-0348

1160 Dairy Ashford Rd
Ste 601
Houston, TX 77079
Phone (281) 645-5264

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1376314724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 110",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012919",
            "telephone_number": "832-924-0348",
            "fax_number": "832-852-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 110",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012919",
            "telephone_number": "832-924-0348",
            "fax_number": "832-852-5754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 W Alabama St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770064102",
            "country_code": "US",
            "telephone_number": "713-628-8197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "ELIZABETH MARY",
        "middle_name": "EFUA",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88953",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.