Organization Active NPI

Elizabeth Donnelly, Licensed Professional Clinical Counselor, P.C.

  • Mental Health Counselor
  • West Hollywood, CA
National Provider Identifier
1174467849
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELIZABETH DONNELLY, LICENSED PROFESSIONAL CLINICAL COUNSELOR, P.C.
Practice address
1148 N Formosa Ave Apt 9
West Hollywood, CA 90046-5856
Phone
(408) 360-7199
NPI assigned
Apr 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Elizabeth Donnelly, LPCCNPI 1841818929
Title
Owner
Phone
(408) 360-7199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1148 N Formosa Ave Apt 9
West Hollywood, CA 90046-5856

Mailing address

1730 Nehemiah Dr
Manteca, CA 95336-8529

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1174467849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NEHEMIAH DR",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953368529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 N FORMOSA AVE APT 9",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465856",
            "telephone_number": "408-360-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH DONNELLY, LICENSED PROFESSIONAL CLINICAL COUNSELOR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-360-7199",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.