Active NPI
Elizabeth Blake Watson, MS
- Professional Counselor
- Lancaster, PA
National Provider Identifier
1497056097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC008154
- Practice address
- 2336 Fruitville Pike
Lancaster, PA 17601-3257 - Phone
- (717) 682-8215
- Fax
- (888) 977-1063
- NPI assigned
- Nov 12, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC008154 | PA | |
| Professional Counselor | 101YP2500X | PC008154 | PA | Primary |
Addresses
Primary practice location
2336 Fruitville Pike
Lancaster, PA 17601-3257
Mailing address
2336 Fruitville Pike
Lancaster, PA 17601-3257
Phone (717) 682-8215
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008154 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BD Counseling Services LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1497056097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 FRUITVILLE PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176013257",
"telephone_number": "717-682-8215",
"fax_number": "888-977-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 FRUITVILLE PIKE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176013257",
"telephone_number": "717-682-8215",
"fax_number": "888-977-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ELIZABETH",
"middle_name": "BLAKE",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-12",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC008154",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.