Elizabeth Jeanine Rousso, LPC, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC007061 Issued in GA

Practice address

1131 Mack Bayou Rd Ste E
Santa Rosa Beach, FL 32459-3113

Phone

(850) 677-5300

NPI assigned

Oct 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1881948792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 MACK BAYOU RD STE E",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593113",
            "telephone_number": "850-677-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 MACK BAYOU RD STE E",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324593113",
            "telephone_number": "850-677-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 Cherokee Ave SE",
            "address_2": "Ste 202",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303123260",
            "country_code": "US",
            "telephone_number": "404-919-9975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSSO",
        "first_name": "ELIZABETH",
        "middle_name": "JEANINE",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15252",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC007061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Whitfield Roberts, DPM
• Kiran Sehdev Robertson, MD
• Stephony L Robinson, APN
• Richard Allen Rodrigue Jr., PHARM D
• George Norman Roll, PA-C
• Ross Jacob Ruder, DDS
• Rural Primary Care South-Walton, Inc.
• Raphael Alexander Rusynyk, D.O.
• Heather Rutkowski, RPH
• Elena Ryazhapova, PHARMD

• Counselor in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.