Active NPI
Elizabeth A Fawcett, LCDC, LPC
- Professional Counselor
- Pasadena, TX
National Provider Identifier
1417599481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72873
- Practice address
- 6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511 - Phone
- (281) 769-2238
- Fax
- (281) 769-2164
- NPI assigned
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13061 | TX | |
| Professional Counselor | 101YP2500X | 72873 | TX | Primary |
Addresses
Primary practice location
6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511
Mailing address
6021 Fairmont Pkwy Ste 200
Pasadena, TX 77505-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13061 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 72873 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1417599481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6021 FAIRMONT PKWY STE 200",
"city": "PASADENA",
"state": "TX",
"postal_code": "775054511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 FAIRMONT PKWY STE 200",
"city": "PASADENA",
"state": "TX",
"postal_code": "775054511",
"telephone_number": "281-769-2238",
"fax_number": "281-769-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAWCETT",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "LCDC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "13061",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.