Active NPI
Elizabeth Ann Egan, LCPC
- Professional Counselor
- Charles Town, WV
National Provider Identifier
1639825599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC14780
- Practice address
- 102 S Lawrence St
Charles Town, WV 25414-1640 - Phone
- (240) 285-8028
- NPI assigned
- Mar 1, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3153 | WV | |
| Professional Counselor | 101YP2500X | LC14780 | MD | Primary |
Addresses
Primary practice location
102 S Lawrence St
Charles Town, WV 25414-1640
Mailing address
102 S Lawrence St
Charles Town, WV 25414-1640
Phone (240) 285-8028
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC14780 | MD | MD | Professional Counselor |
| 3153 | WV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1639825599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S LAWRENCE ST",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254141640",
"telephone_number": "240-285-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S LAWRENCE ST",
"city": "CHARLES TOWN",
"state": "WV",
"postal_code": "254141640",
"telephone_number": "240-285-8028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "3153",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC14780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charles Town, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.