Active NPI
Elizabeth Villanueva, M.S., LMHC
- Mental Health Counselor
- St Augustine, FL
National Provider Identifier
1699199414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6277 A1A S Ste 202
St Augustine, FL 32080 - Phone
- (904) 834-5051
- Fax
- (904) 216-2154
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6277 A1A S Ste 202
St Augustine, FL 32080
Mailing address
6277 A1A S Ste 202
St Augustine, FL 32080-7515
Phone (904) 834-5051
Other practice location 1
25 Florida Park Dr N Ste B
Palm Coast, FL 32137-3806
Phone (904) 834-5051
Other practice location 2
248 Southpark Cir E
St Augustine, FL 32086-5137
Phone (914) 488-9381
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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Way Associates, LLC | Current | Accepting new patients |
Locations
6277 A1A S
Ste 202
St Augustine, FL 32080
Phone (904) 325-5322
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.
-
dba Liz Villanueva
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Augustine, FL
- NPI 1750915088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1699199414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6277 A1A S STE 202",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320807515",
"telephone_number": "904-834-5051",
"fax_number": "904-216-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6277 A1A S STE 202",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "32080",
"telephone_number": "904-834-5051",
"fax_number": "904-216-2154"
}
],
"practiceLocations": [
{
"address_1": "25 Florida Park Dr N Ste B",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "321373806",
"country_code": "US",
"telephone_number": "904-834-5051",
"fax_number": "904-216-2154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "248 Southpark Cir E",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320865137",
"country_code": "US",
"telephone_number": "914-488-9381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "ELIZABETH",
"credential": "M.S., LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
- Vijayselwyn Davis Dhas MD (OB-GYN of St Augustine)
- Village Chiropractic Center of
- Village Pediatrics of St Augustine LLC (Village Pediatrics LLC)
- Villages Regional Hospital Physician Services LLC
- Villages Regional Hospital Physician Services LLC (UF Health Urgent Care- Murabella)
- Eva Villanueva, MD
- Steven Yu Villanueva, M.D.
- Sarah Nicole Villasis, M.S., CF-SLP
- Maren E Villavisanis, LCSW
- Maribel Villegas, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.