Active NPI
Elizabeth Welch
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1114301496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 128978
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128978 | CA | MD | Clinical Social Worker |
| 87508 | CA | MD | Marriage & Family Therapist |
| M.1900100 | OH | MD | Marriage & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.