ELIZABETH GWIN LPC
NPI 1164147773
Counselor - Professional in Roselle, NJ
About Elizabeth Gwin Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH GWIN LPC (NPI 1164147773) is an individual professional provider in Roselle, New Jersey, licensed in New Jersey (37PC00892200) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elizabeth Gwin Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elizabeth Gwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Pennsylvania enrollment
- 833 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elizabeth Gwin's NPI number?
The NPI number for Elizabeth Gwin is 1164147773. It was assigned to this individual provider in the NPPES registry on October 5, 2022.
Where is Elizabeth Gwin located?
Elizabeth Gwin practices at 126 W 5th Ave, Roselle, NJ 07203. The listed phone number is (678) 367-9537.
What is Elizabeth Gwin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Elizabeth Gwin enrolled in Medicare?
Yes. Elizabeth Gwin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elizabeth Gwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Gwin reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Gwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Gwin was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elizabeth Gwin, LPC · NPI 1164147773
Professional provider in Roselle, New Jersey. Individual provider, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1164147773 (Entity type: Individual)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC00892200 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 126 W 5TH AVE, Roselle, NJ 07203-1903
- **Phone:** (678) 367-9537
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 5, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1164147773) · Data from the CMS NPPES public registry.