Individual provider Active NPI

Elizabeth Fonda Hatzispiros, MA, LCMHC

  • Mental Health Counselor
  • Matthews, NC
National Provider Identifier
1649795154
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13174 Issued in NC
Practice address
1212 Mann Dr Ste 100
Matthews, NC 28105-5511
Phone
(980) 288-6834
Fax
(980) 495-8850
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13174 NC Primary

Addresses

Primary practice location

1212 Mann Dr Ste 100
Matthews, NC 28105-5511

Mailing address

1212 Mann Dr Ste 100
Matthews, NC 28105-5511
Phone (678) 274-7001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
13174NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Samaritan Counseling Center 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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1649795154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 MANN DR STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055511",
            "telephone_number": "678-274-7001",
            "fax_number": "980-495-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MANN DR STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055511",
            "telephone_number": "980-288-6834",
            "fax_number": "980-495-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATZISPIROS",
        "first_name": "ELIZABETH",
        "middle_name": "FONDA",
        "credential": "MA, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "13174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.