Elizabeth a Brill PHD LCP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

0810003263 Issued in VA

Legal business name

ELIZABETH A BRILL PHD LCP

Practice address

6964 Forest Hill Ave
Richmond, VA 23225-1606

Phone

(804) 386-5654

Fax

(804) 320-8738

NPI assigned

Apr 18, 2011

Last updated

Apr 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth A Brill, PHD-LCPNPI 1427116946

Title

Owner

Phone

80438656408

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Ann Brill, PH.D., LCP

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1427116946
  NPD (past) Authorized official
• Robert Alan Petry, LICENSED CLINICAL PS

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1790874154
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1417247909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240150127",
            "telephone_number": "540-981-9394",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6964 FOREST HILL AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251606",
            "telephone_number": "804-386-5654",
            "fax_number": "804-320-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A BRILL PHD LCP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "80438656408",
        "authorized_official_credential": "PHD-LCP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0810003263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427116946",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Edge Physical Therapy, PLLC
• Elite Homecare Inc
• Elite Primary Care and TCM Services LLC
• Elite Psychotherapy and Behavioral Health Services, LLC
• Elite Transportation LLC
• Elizabeth a. Lee, D.D.S., P.C.
• Elizabeth Fuqua LLC
• Luis F Eljaiek Jr., MD
• Terra Gabriella Eljaiek, LCSW
• Mourad Eljarrari

• Counseling Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Counseling Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.