Individual provider Active NPI

Elizabeth Marie Silvernale, PH.D, LMHC,LSATP,CAP

  • Mental Health Counselor
  • Weston, FL
National Provider Identifier
1821322330
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12271 Issued in FL
Practice address
2883 Executive Park Dr Ste 102
Weston, FL 33331-3662
Phone
(954) 228-0530
Fax
(954) 384-1163
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 0718000229 VA
Mental Health Counselor 101YM0800X MH12271 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 2752 FL

Addresses

Primary practice location

2883 Executive Park Dr Ste 102
Weston, FL 33331-3662

Mailing address

2883 Executive Park Dr Ste 102
Weston, FL 33331-3662
Phone (954) 228-0530

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CAP 2752FLMDAddiction (Substance Use Disorder) Counselor
MH12271FLMDMental Health Counselor
0718000229VAMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabethsilvernale@tdh.allscriptsdirect.net

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": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1821322330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR STE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-228-0530",
            "fax_number": "954-384-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2883 EXECUTIVE PARK DR STE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313662",
            "telephone_number": "954-228-0530",
            "fax_number": "954-384-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERNALE",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "PH.D, LMHC,LSATP,CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000229",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12271",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 2752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.