Individual provider Active NPI

Elizabeth L Lawrence, MS

  • Mental Health Counselor
  • Port St Joe, FL
National Provider Identifier
1437768645
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH18908 Issued in FL
Practice address
212 W Highway 98 # C
Port St Joe, FL 32456-1301
Phone
(850) 209-2423
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH18908 FL Primary

Addresses

Primary practice location

212 W Highway 98 # C
Port St Joe, FL 32456-1301

Mailing address

212 W Highway 98 # C
Port St Joe, FL 32456-1301
Phone (850) 209-2423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514001026 FL Practitioner - Mental Health Counselor 2961843529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH18908FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Management Center of Northwest Florida Inc CurrentSince Apr 5, 2024 Accepting new patients
Life Management Center of NW FL, Inc. Current Accepting new patients
Peoples Health Care Connection, LLC Mental Health CurrentSince Aug 2, 2020 Accepting new patients
Life Management of NW FL, Inc. CurrentSince Apr 5, 2024 Accepting new patients
All Too Well Therapy LLC Mental Health Current Accepting new patients
Compass Health, Inc Past Accepting new patients

Locations

16869 NE Pear St
Blountstown, FL 32424
Phone (850) 522-4485

310 E Byrd Ave
Bonifay, FL 32425
Phone (850) 522-4485

4094 Lafayette St
Marianna, FL 32446
Phone (850) 482-7441

525 E 15th St
Panama City, FL 32405
Phone (850) 522-4485

311 Williams Ave
Port St Joe, FL 32456
Phone (850) 522-4485

212 W Highway 98
#C
Port St Joe, FL 32456
Phone (850) 209-2423

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1437768645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W HIGHWAY 98 # C",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561301",
            "telephone_number": "850-209-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W HIGHWAY 98 # C",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324561301",
            "telephone_number": "850-209-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH18908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Joe, FL

Sources for this page

Verify at the official NPI Registry.