Elizabeth Joy Rzengota, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007802 Issued in VA

Practice address

10301 Democracy LN Ste 275
Fairfax, VA 22030

Phone

(845) 321-0430

NPI assigned

Jul 1, 2014

Last updated

Sep 22, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Elizabeth Joy Clouser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Restore Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1295214112
  Authorized official Same address or phone

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537574400000",
    "number": "1841606647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN STE 275",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302525",
            "telephone_number": "703-397-3124",
            "fax_number": "703-539-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 DEMOCRACY LN STE 275",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "845-321-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RZENGOTA",
        "first_name": "ELIZABETH",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2018-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CLOUSER",
            "middle_name": "JOY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Rebecca Ryan, LPC
• Adrian Ryczak
• Joanna Rydalch, MSW,LCSW
• Jessica Gergis Ryder, LPC
• Dean Gordon Rye, D.D.S.
• S.H.a.P.E Solutions LLC
• Antonio Fadio Saad, M.D.
• Deborah Lynn Saba, LPC
• Abel Sabarre, DPT
• Shabnam Sachdeva, M.D.

• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.