Individual provider Active NPI

Ellen H Hsu, MBA, MA, AMFT, APCC

  • Mental Health Counselor
  • Santa Barbara, CA
National Provider Identifier
1114769502
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT146942 Issued in CA
Practice address
615 State St Ste B
Santa Barbara, CA 93101-3301
Phone
(805) 312-8078
NPI assigned
Jun 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC16618 CA
Mental Health Counselor 101YM0800X AMFT146942 CA Primary

Addresses

Primary practice location

615 State St Ste B
Santa Barbara, CA 93101-3301

Mailing address

12305 Madera Road, #358
Simi Valley, CA 93065
Phone (213) 309-5598

Other practice location 1

550 Lorabel Way Apt B
Simi Valley, CA 93065-7333
Phone (213) 309-5598

Other identifiers 2

IdentifierTypeStateIssuer
APCC16618OtherCACA BOARD OF BEHAVIORAL SCIENCES
AMFT146942OtherCACA BOARD OF BEHAVIORAL SCIENCES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
AMFT146942CAMDMental Health Counselor
APCC16618CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychotherapy & Integrative Health, a Marriage & Family the PastSince Jun 9, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1114769502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12305 MADERA ROAD, #358",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "213-309-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 STATE ST STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013301",
            "telephone_number": "805-312-8078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Lorabel Way Apt B",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930657333",
            "country_code": "US",
            "telephone_number": "213-309-5598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSU",
        "first_name": "ELLEN",
        "middle_name": "H",
        "credential": "MBA, MA, AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC16618",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT146942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "APCC16618",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "AMFT146942",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.