Elizabeth Ann Van Rensburg, PHD, LPC, NCC RPT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18423 Issued in TX

Practice address

2714 82ND St Ste a
Lubbock, TX 79423-1459

Phone

(806) 281-1000

Fax

(806) 686-1336

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1992710313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 82ND ST STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231459",
            "telephone_number": "806-281-1000",
            "fax_number": "806-686-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 82ND ST STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231459",
            "telephone_number": "806-281-1000",
            "fax_number": "806-686-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RENSBURG",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PHD, LPC, NCC RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161288902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcos Junior Vallejo
• Arturo Valles, PT, DPT
• Kyra Lynn Valles, SLPA
• John Van Den Heuvel, M.MFT, LMFT, LCDC
• Tammie Beth Van Liew, F.N.P.
• Angela June Van Sickle, SLP
• Joshua Mark Van Swol
• Reginald Van Velzen, PT
• Kurtis Dickie Vanderpool, LPC-A
• Bryanna Vandygriff

• Professional Counselor in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.