Active NPI
Elizabeth A Roan, LPC
- Professional Counselor
- Richardson, TX
National Provider Identifier
1992093934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64816
- Practice address
- 1221 Abrams Rd
Suite 235
Richardson, TX 75081-5578 - Phone
- (214) 530-6612
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 64816 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 64816 | TX | |
| Mental Health Counselor | 101YM0800X | 64816 | TX | |
| Professional Counselor | 101YP2500X | 64816 | TX | Primary |
Addresses
Primary practice location
1221 Abrams Rd
Suite 235
Richardson, TX 75081-5578
Mailing address
1221 Abrams Rd
Suite 235
Richardson, TX 75081-5578
Phone (214) 530-6612
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 |
|---|---|---|---|
| 64816 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1992093934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 ABRAMS RD",
"address_2": "SUITE 235",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815578",
"telephone_number": "214-530-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 ABRAMS RD",
"address_2": "SUITE 235",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815578",
"telephone_number": "214-530-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROAN",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-12",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "64816",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "64816",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "64816",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
- Riverside Interventional Pain Center LLC
- Rmbo Enterprises LTD (Texas Therapy Centers of Richardson)
- Rmbo Enterprises LTD (Texas Therapy Centers of Richardson)
- RMC Medical Plaza Pharmacy
- RMR Healthcare Richardson, LLC (Remington Medical Resort- Richardson)
- Heather E Robb
- Ryan Robbins, DC
- Robert L Porter, DDS, PA
- Addie Roberts, RD, LD
- Matthew Bryson Roberts II, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.