Active NPI
Elizabeth Sly
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1427423888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64297
- Practice address
- 6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056 - Phone
- (682) 312-8184
- NPI assigned
- Dec 9, 2015
- Last updated
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64297 | TX | Primary |
Addresses
Primary practice location
6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056
Mailing address
6012 Reef Point LN Ste C
Fort Worth, TX 76135-2056
Phone (682) 312-8184
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64297 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Behavioral Health Center PLLC | Professional | Current | Accepting new patients |
| The Oaks Life Center, PLLC | Professional | Current | Accepting new patients |
Locations
6012 Reef Point Ln
Ste C
Fort Worth, TX 76135
Phone (682) 312-8184
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Fort Worth, TX
- NPI 1285400424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1427423888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6012 REEF POINT LN STE C",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761352056",
"telephone_number": "682-312-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6012 REEF POINT LN STE C",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761352056",
"telephone_number": "682-312-8184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLY",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Robert W Sloane Jr., M.D.
- Victoria Jane Slowinski, PA-C
- SLP Fort Worth LLC (Wellington Oaks Nursing & Rehabilitation)
- SLR Monitoring, LLC
- Emily Marie Sluss, APRN-CNP
- SM Prime Source DME LLC
- Maja Smailagic, RPH
- Samantha Ann Smaile
- Small Hands Big Hearts Pediatric Therapy Management Inc
- Small Hands Big Hearts Pediatric Therapy Management Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.