Individual provider Active NPI

Elizabeth Joy Mohaupt, MA, LPC, NCC

  • Professional Counselor
  • Manassas, VA
National Provider Identifier
1902432388
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008967 Issued in VA
Practice address
9720 Capital CT Ste 303
Manassas, VA 20110-2051
Phone
(703) 881-0121
Fax
(703) 881-0121
NPI assigned
Mar 18, 2020
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008967 VA Primary

Addresses

Primary practice location

9720 Capital CT Ste 303
Manassas, VA 20110-2051

Mailing address

9720 Capital CT Ste 303
Manassas, VA 20110-2051
Phone (703) 881-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701008967VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerment Therapy Center, Etc CurrentSince Jun 9, 2024 Accepting new patients

Locations

9720 Capital Ct
Ste 303
Manassas, VA 20110
Phone (703) 881-0121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1902432388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 303",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102051",
            "telephone_number": "703-881-0121",
            "fax_number": "703-881-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 303",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102051",
            "telephone_number": "703-881-0121",
            "fax_number": "703-881-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAUPT",
        "first_name": "ELIZABETH",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.