Individual provider Active NPI

Elizabeth Leane Papa, M.ED., EDS. LPC LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1740636158
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16993 Issued in FL
Practice address
10335 Gulf Beach Hwy Unit 1203
Pensacola, FL 32507-2178
Phone
(662) 801-3113
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701006635 VA
Specialist 174400000X LPCC2781 CA
Mental Health Counselor 101YM0800X MH16993 FL Primary

Addresses

Primary practice location

10335 Gulf Beach Hwy Unit 1203
Pensacola, FL 32507-2178

Mailing address

10335 Gulf Beach Hwy Unit 1203
Pensacola, FL 32507-2178
Phone (662) 801-3113

Other practice location 1

289 Independence Blvd. Pembroke 3 Site 221
Virginia Beach, VA 23462
Phone (757) 498-9320

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 Education

State licenses

LicenseStateTypeSpecialty
MH16993FLMDMental Health Counselor
0701006635VAMDMental Health Counselor
LPCC2781CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Cottage Counseling, LLC Mental Health CurrentSince Nov 15, 2020 Accepting new patients
Tony Bruder, PH D & Associates P C PastSince Feb 15, 2015 Accepting new patients

Organizations & group practices 2

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1740636158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 GULF BEACH HWY UNIT 1203",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325072178",
            "telephone_number": "662-801-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 GULF BEACH HWY UNIT 1203",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325072178",
            "telephone_number": "662-801-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 Independence Blvd. Pembroke 3 Site 221",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23462",
            "country_code": "US",
            "telephone_number": "757-498-9320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPA",
        "first_name": "ELIZABETH",
        "middle_name": "LEANE",
        "credential": "M.ED., EDS. LPC LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006635",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "LPCC2781",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.