Individual provider Active NPI

Elizabeth M North, LCSW

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1770661902
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11034 Issued in FL
Practice address
2365 Centerville Rd
Tallahassee, FL 32308-4317
Phone
(303) 519-9517
Fax
(850) 877-6968
NPI assigned
Nov 2, 2006
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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 11034 FL Primary
Clinical Social Worker 1041C0700X 11034 FL
Clinical Social Worker 1041C0700X 354 CO

Addresses

Primary practice location

2365 Centerville Rd
Tallahassee, FL 32308-4317

Mailing address

3408 Whirl a Way TRL
Tallahassee, FL 32309-1927
Phone (303) 519-9517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171214002091 FL Practitioner - Clinical Social Worker 0042318198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11034FLMDMental Health Counselor
354COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beth North, LCSW, LLC Mental Health CurrentSince Mar 5, 2023 Accepting new patients
Florida Therapy Services, Inc PastSince Jul 17, 2021 Accepting new patients

Locations

2365 Centerville Rd
Tallahassee, FL 32308
Phone (303) 519-9517

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1770661902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 WHIRL A WAY TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323091927",
            "telephone_number": "303-519-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084317",
            "telephone_number": "303-519-9517",
            "fax_number": "850-877-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11034",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "11034",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.