Individual provider Active NPI

Elizabeth A Vangelist

  • Mental Health Counselor
  • Newburyport, MA
National Provider Identifier
1649593559
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC8363 Issued in MA
Practice address
255 Low St Ste 302
Newburyport, MA 01950-3596
Phone
(978) 222-3121
Fax
(978) 296-3460
NPI assigned
Mar 5, 2010
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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
Mental Health Counselor 101YM0800X LMHC8363 MA Primary

Addresses

Primary practice location

255 Low St Ste 302
Newburyport, MA 01950-3596

Mailing address

255 Low St Ste 302
Newburyport, MA 01950-3596
Phone (978) 222-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251113002040 MA Practitioner - Mental Health Counselor 7113418500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

255 Low St
Suite 302
Newburyport, MA 01950-3596
Phone (978) 222-3121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC8363MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Nov 1, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Nov 1, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients
Family Counseling Associates of Salem Andover LLC Mental Health Past Accepting new patients

Locations

40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (401) 595-2982

255 Low St
Ste 302
Newburyport, MA 01950
Phone (952) 246-4564

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1649593559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LOW ST STE 302",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503596",
            "telephone_number": "978-222-3121",
            "fax_number": "978-296-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LOW ST STE 302",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503596",
            "telephone_number": "978-222-3121",
            "fax_number": "978-296-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGELIST",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC8363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.