Elysa Waldholz, M.A., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC#47370 Issued in CA

Practice address

2211 Corinth Ave
Suite#203
Los Angeles, CA 90064-1650

Phone

(310) 281-6868

NPI assigned

Jun 28, 2011

Last updated

Jul 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1083900096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 CORINTH AVE",
            "address_2": "SUITE#203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641650",
            "telephone_number": "310-281-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CORINTH AVE",
            "address_2": "SUITE#203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641650",
            "telephone_number": "310-281-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDHOLZ",
        "first_name": "ELYSA",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC#47370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koreema Walden, AMFTI
• Kyla-Rose Walden
• Stephen Brent Walden, PHD, LP
• Tracie Walden
• Daniela Walder, PSYD
• Lori Ann Waldinger
• Dorit Waldman
• Ethan Waldman, D.P.T.
• Hadar Waldman, MD
• Lauren Alexandra Waldman, PA-C

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.