Elizaveta Patchen

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW14224 Issued in FL

Practice address

212 E 28TH St
Riviera Beach, FL 33404-2306

Phone

(561) 657-9377

NPI assigned

Mar 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, TN, CA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TN

  Medicare reassignment NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD
• Uplift Health Technologies, Inc.

  • Adult Mental Health Clinic/Center
  • Arlington, VA
  • NPI 1770189243

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1477011732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 4TH ST",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583814",
            "telephone_number": "561-657-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E 28TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334042306",
            "telephone_number": "561-657-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCHEN",
        "first_name": "ELIZAVETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW14224",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW14224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Parra, PHARMD
• Lanita Faye Parrish, LMHC
• Mindy Ann Parsons, M.ED.
• Abigail Jean Parthemer, LCSW
• Jean Passe, APRN
• Nita Ramesh Patel
• Rosyln Patrick
• Alisha Patterson
• Christine Elizabeth Patton
• Seanna Paul-Hus, M.S.

• Mental Health Counselor in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.

Verify at the official NPI Registry.