Individual provider Active NPI

Elizabeth Romano, LMHC

  • Mental Health Counselor
  • Clermont, FL
National Provider Identifier
1972024743
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18648 Issued in FL
Practice address
205 Hatteras Ave Ste 105
Clermont, FL 34711-6502
Phone
(352) 348-8858
Fax
(352) 708-5603
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH18648 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X

Addresses

Primary practice location

205 Hatteras Ave Ste 105
Clermont, FL 34711-6502

Mailing address

205 Hatteras Ave Ste 105
Clermont, FL 34711-6502
Phone (352) 348-8858

Other practice location 1

1002 N Semoran Blvd
Orlando, FL 32807-3531
Phone (407) 275-8939 ext. 16366

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

LicenseStateTypeSpecialty
MH18648FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1972024743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 HATTERAS AVE STE 105",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116502",
            "telephone_number": "352-348-8858",
            "fax_number": "352-708-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 HATTERAS AVE STE 105",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116502",
            "telephone_number": "352-348-8858",
            "fax_number": "352-708-5603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 N Semoran Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328073531",
            "country_code": "US",
            "telephone_number": "407-275-8939 x16366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "ELIZABETH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18648",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.