Elizabeth Venenga

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC10306 Issued in MD

Practice address

2700 Washington Ave
Halethorpe, MD 21227-3115

Phone

(667) 600-2272

Fax

(667) 600-4065

NPI assigned

Apr 27, 2020

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1568083939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WASHINGTON AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WASHINGTON AVE",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273115",
            "telephone_number": "667-600-2272",
            "fax_number": "667-600-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENENGA",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evenenga@cc-md.org",
            "affiliation": "N",
            "endpointDescription": "Secure work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2700 Washington Ave",
            "city": "Halethorpe",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212273115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Naser Uddin, PHD, NRCC
• University of Maryland Surgical Associates, PA (Davita Sulpher Spring-General Surgery)
• University of Maryland Surgical Associates, PA (Davita Sulpher Spring-Transplant Surgery)
• Arthur Edward Vail III, DDS
• Gail Lillian Veenstra
• Natalia Tamara Vernon, M.D.
• Juliet Wainaina
• Mark Allan Walker, M.D.
• Amanda Lynn Wallace, PTA
• Waterfalls Cares at Home, LLC

• Mental Health Counselor in Halethorpe, MD
• Providers in Halethorpe, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.