Individual provider Active NPI

Elizabeth Solomonson, M.A.

  • Mental Health Counselor
  • Adrian, MI
National Provider Identifier
1689840969
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401008762 Issued in MI
Practice address
403 N Broad St
Adrian, MI 49221-2127
Phone
(517) 266-8500
Fax
(866) 223-1175
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2008

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 6401008762 MI Primary

Addresses

Primary practice location

403 N Broad St
Adrian, MI 49221-2127

Mailing address

3124 Ravenwood CT
Tecumseh, MI 49286-8738
Phone (517) 423-0508

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401008762MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Counseling, LLC 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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1689840969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 RAVENWOOD CT",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492868738",
            "telephone_number": "517-423-0508",
            "fax_number": "866-223-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212127",
            "telephone_number": "517-266-8500",
            "fax_number": "866-223-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMONSON",
        "first_name": "ELIZABETH",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401008762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.