Individual provider Active NPI

Elizabeth Lewis Mezger

  • Mental Health Counselor
  • Sacramento, CA
National Provider Identifier
1639899909
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2335 American River Dr Ste 301
Sacramento, CA 95825-7088
Phone
(925) 623-3301
NPI assigned
Aug 29, 2022
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

2335 American River Dr Ste 301
Sacramento, CA 95825-7088

Mailing address

3810 Rosin CT Ste 170
Sacramento, CA 95834-1658
Phone (916) 567-4222

Other practice location 1

3810 Rosin Ct Ste 170
Sacramento, CA 95834-1658
Phone (916) 567-4222

Other names 1

  • Elizabeth Lee Lewis Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1639899909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 ROSIN CT STE 170",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341658",
            "telephone_number": "916-567-4222",
            "fax_number": "916-567-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 AMERICAN RIVER DR STE 301",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257088",
            "telephone_number": "925-623-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Rosin Ct Ste 170",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958341658",
            "country_code": "US",
            "telephone_number": "916-567-4222",
            "fax_number": "916-567-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZGER",
        "first_name": "ELIZABETH",
        "middle_name": "LEWIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LEWIS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.