Individual provider Active NPI

Elizabeth Fava, LPC, M.S.

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1952735326
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007935 Issued in GA
Practice address
4840 Roswell Rd Ste 202
Atlanta, GA 30342-2639
Phone
(813) 300-6525
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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 LPC007935 GA Primary

Addresses

Primary practice location

4840 Roswell Rd Ste 202
Atlanta, GA 30342-2639

Mailing address

4840 Roswell Rd Ste 202
Atlanta, GA 30342-2639
Phone (813) 300-6525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC007935GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Liz Fava Counseling Services CurrentSince Nov 3, 2024 Accepting new patients

Locations

4840 Roswell Rd
Ste C202
Sandy Springs, GA 30342
Phone (404) 257-6474

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1952735326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 ROSWELL RD STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422639",
            "telephone_number": "813-300-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 ROSWELL RD STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422639",
            "telephone_number": "813-300-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVA",
        "first_name": "ELIZABETH",
        "credential": "LPC, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.