Elizabeth A Cusack, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007432 Issued in PA

Practice address

327 New Dehaven St
Conshohocken, PA 19428-2625

Phone

(215) 510-1891

NPI assigned

Jan 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456617600000",
    "number": "1790023349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 NEW DEHAVEN ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282625",
            "telephone_number": "215-510-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 NEW DEHAVEN ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282625",
            "telephone_number": "215-510-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSACK",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2016-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007432",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC007432",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC007432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann C. Cozza, DO
• Aubree Culp, OTR/L
• Cristina Cunningham, PH.D.
• Angela Lynn Cure, MA CCC-SLP, BCBA
• John Francis Curtis IV, MD
• Ryan D'Ambrosio
• Salina Antonietta D'Onofrio, ATR-BC, LPC
• Sanjay Dabral, MD
• Nicole Daher, PHYSICIAN ASSISTANT
• Elizabeth Marie Daly, M.D.

• Professional Counselor in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2016; 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.