Elsa Shalow

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

139030 Issued in CA

Practice address

12712 Heacock St Ste 3
Moreno Valley, CA 92553-3037

Phone

(951) 550-0039

NPI assigned

Dec 9, 2024

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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

• Therapeutically Connected Family Counseling, Inc

  • Marriage & Family Therapist
  • Moreno Valley, CA
  • NPI 1992394738
  NPD

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1164238663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 JANE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064302",
            "telephone_number": "951-640-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12712 HEACOCK ST STE 3",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533037",
            "telephone_number": "951-550-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALOW",
        "first_name": "ELSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Girish R Shah
• Mukesh M Shah, PHARMACIST
• Neh Devang Shah, D.O.
• Shamsh P Shaikh, MD
• Jontia Shallowhorn
• Abdulaziz Shammaa, DO
• Leslie Shan, O.D.
• Erin Shannon
• Teresa Elaine Sharber, LVN
• Karan Sharma, DO

• Marriage & Family Therapist in Moreno Valley, CA
• Providers in Moreno Valley, 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 Dec 9, 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.