Individual provider Active NPI

Elizabeth Welch

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1114301496
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
128978 Issued in CA
Practice address
1355 S Hill St
Los Angeles, CA 90015-3012
Phone
(213) 389-5820
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M.1900100 OH
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X 87508 CA
Marriage & Family Therapist 106H00000X 128978 CA Primary

Addresses

Primary practice location

1355 S Hill St
Los Angeles, CA 90015-3012

Mailing address

1355 S Hill St
Los Angeles, CA 90015-3012
Phone (213) 389-5820

Other practice location 1

18663 Ventura Blvd Ste 300
Tarzana, CA 91356-4161
Phone (818) 835-1936

Other practice location 2

1613 N Brighton St
Burbank, CA 91506
Phone (309) 339-9021

Other practice location 3

4629 Aicholtz Rd
Cincinnati, OH 45244
Phone (309) 339-9021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128978CAMDClinical Social Worker
87508CAMDMarriage & Family Therapist
M.1900100OHMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1114301496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153012",
            "telephone_number": "213-389-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153012",
            "telephone_number": "213-389-5820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18663 Ventura Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913564161",
            "country_code": "US",
            "telephone_number": "818-835-1936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1613 N Brighton St",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "91506",
            "country_code": "US",
            "telephone_number": "309-339-9021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4629 Aicholtz Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45244",
            "country_code": "US",
            "telephone_number": "309-339-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M.1900100",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87508",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.