Elizabeth Jane Childs, LMHC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

013086 Issued in NY

Practice address

310 Riverside Dr Apt 305a
New York, NY 10025-4116

Phone

(212) 865-1162

NPI assigned

Aug 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1396529905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 RIVERSIDE DR APT 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254143",
            "telephone_number": "212-865-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RIVERSIDE DR APT 305A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254116",
            "telephone_number": "212-865-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Childrens Aid Society
• Childrens Link Early Intervention
• John M. Childress, M.D.
• Amanda Childs, PH.D
• Daniel Patrick Childs
• Jocelyn Reeve Childs, LCSW
• Matthew Jack Childs, PSYD
• Skylar Chilelli
• Chilesky Home Care Physical Therapy, LLC
• Justin Chilesky, DPT

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.