Liza Mitrofanova PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIZA MITROFANOVA PLLC

Practice address

314 Upper Houghton Rd.
Unit B
Marlboro, VT 05344

Phone

(802) 380-9867

NPI assigned

Jul 7, 2026

Last updated

Jul 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizaveta Mitrofanova

Title

Member

Phone

(802) 380-9867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1851219075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "MARLBORO",
            "state": "VT",
            "postal_code": "053440322",
            "telephone_number": "802-380-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 UPPER HOUGHTON RD.",
            "address_2": "UNIT B",
            "city": "MARLBORO",
            "state": "VT",
            "postal_code": "05344",
            "telephone_number": "802-380-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZA MITROFANOVA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-06-14",
        "status": "A",
        "authorized_official_last_name": "MITROFANOVA",
        "authorized_official_first_name": "ELIZAVETA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "802-380-9867"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nanette Bonano Carpenter, APRN
• Ruth E. Loomis, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marlboro, VT
• Providers in Marlboro, VT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.