Elizabeth R. Glaze, LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003774 Issued in GA

Legal business name

ELIZABETH R. GLAZE, LPC, LLC

Practice address

3504 Professional Cir Ste a
Augusta, GA 30907-8236

Phone

(706) 288-5082

Fax

(706) 863-0941

NPI assigned

Oct 26, 2011

Last updated

Jan 28, 2025By 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

Mrs. Elizabeth Ray Glaze, LPCNPI 1790887206

Title

President

Phone

(706) 288-5082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Ray Glaze, LPC

  • Professional Counselor
  • Martinez, GA
  • NPI 1790887206
  Medicare reassignment NPD Authorized official
• Dawn Michelle Jett, LCSW

  • Clinical Social Worker
  • Augusta, GA
  • NPI 1265596274
  NPD

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1912283508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "APPLING",
            "state": "GA",
            "postal_code": "308020238",
            "telephone_number": "706-288-5082",
            "fax_number": "706-863-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 PROFESSIONAL CIR STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309078236",
            "telephone_number": "706-288-5082",
            "fax_number": "706-863-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH R. GLAZE, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "GLAZE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-288-5082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazem F Elewa, RPH,BCPS
• Ahmed Elhaimer, MD
• Islam Ahmed Shehata Elhelf
• Hany Elia, M.D.
• Elizabeth Jackson
• Mahmoud A Elkahly
• Beshoy Elkatcha
• Amine Elkhalil, DMD
• Douglas William Ellenberger, OD
• Tamara Lynn Eller, PT, DPT

• Professional Counselor in Augusta, GA
• Providers in Augusta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.