Eliza M Marcus, M.ED, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

002868 Issued in NY

Practice address

2 Durham PL
Lake Grove, NY 11755-2814

Phone

(631) 585-7131

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396882478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DURHAM PL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552814",
            "telephone_number": "631-585-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DURHAM PL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552814",
            "telephone_number": "631-585-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "ELIZA",
        "middle_name": "M",
        "credential": "M.ED, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "002868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Matthew Machlica
• Anum Mahmood, RPA-C
• Ilana Malekan, MS, CGC
• Julie Manis, R.N., GNP, PMHNP
• Mandi Marcello, RN
• Alexandra Marie Mathews, PA-C
• Joseph B. McCarthy, LCSW-R
• Michele McCauley
• Justin Joseph McEvoy, APRN PMHNP-BC
• Maureen McKeon-Simone, RD

• Mental Health Counselor in Lake Grove, NY
• Providers in Lake Grove, 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 Jul 8, 2007; 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.