Active NPI
Elizabeth Fangonilo Erfe-Howard, LPC
- Professional Counselor
- Williamsburg, VA
National Provider Identifier
1922195437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701001975
- Practice address
- 1657 Merrimac TRL
Williamsburg, VA 23185-5624 - Phone
- (757) 220-3200
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701001975 | VA | Primary |
Addresses
Primary practice location
1657 Merrimac TRL
Williamsburg, VA 23185-5624
Mailing address
1657 Merrimac TRL
Williamsburg, VA 23185-5624
Phone (757) 220-3200
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270365 | Other | VA | ANTHEM |
| 5401666 | Medicaid | VA | |
| 332778 | Other | VA | ANTHEM |
| O83002 | Other | VA | SENTARA |
| 5401631 | Medicaid | VA | |
| 5401658 | Medicaid | VA | |
| 270366 | Other | VA | ANTHEM |
| 5401640 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701001975 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Behavioral Health | Past | Accepting new patients | |
| Colonial Behavioral Health | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Williamsburg, VA
- NPI 1760565915
-
- Health Maintenance Organization
- Williamsburg, VA
- NPI 1841556776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1922195437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 MERRIMAC TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855624",
"telephone_number": "757-220-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 MERRIMAC TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855624",
"telephone_number": "757-220-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERFE-HOWARD",
"first_name": "ELIZABETH",
"middle_name": "FANGONILO",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701001975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "270365",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5401666",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "332778",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "O83002",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5401631",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5401658",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "270366",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5401640",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.