ELIZABETH FAVA LPC, M.S.
NPI 1952735326
Counselor - Professional in Atlanta, GA

Active since August 21, 2013Opted out of Medicare · through Feb 14, 2028
4840 ROSWELL RD STE 202, ATLANTA, GA 30342(813) 300-6525 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth Fava Lpc, M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH FAVA LPC, M.S. (NPI 1952735326) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC007935) and active in the NPI registry since August 2013. She has opted out of Medicare through February 14, 2028.

NPPES Registry Identity

NPI1952735326
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELIZABETH FAVACredential: LPC, M.S.
Location Address4840 ROSWELL RD STE 202Atlanta, GA 30342-2639
Mailing Address4840 Roswell Rd Ste 202Atlanta, GA 30342-2639 · (813) 300-6525
Sole ProprietorYes
Enumeration DateAugust 21, 2013
Last NPPES UpdateOctober 14, 2021
NPPES CertifiedOctober 6, 2021
NPI 1952735326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC007935
4840 ROSWELL RD STE 202, Atlanta, GA 30342

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Elizabeth Fava Lpc, M.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 14, 2024 through February 14, 2028.

Opt-Out Effective DateFebruary 14, 2024
Opt-Out In Effect ThroughFebruary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
4840 ROSWELL RD STE 202
ATLANTA, GA 30342

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 Fava's NPI number?

The NPI number for Elizabeth Fava is 1952735326. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Where is Elizabeth Fava located?

Elizabeth Fava practices at 4840 Roswell Rd Ste 202, Atlanta, GA 30342. The listed phone number is (813) 300-6525.

What is Elizabeth Fava's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Elizabeth Fava enrolled in Medicare?

No. Elizabeth Fava has opted out of Medicare through February 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Elizabeth Fava was last updated on October 14, 2021. 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.