Iliana Legorreta Gelles, LMFT 97001
Individual provider Active NPI Marriage & Family Therapist · Solvang, CA
NPI 1265875413 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1265875413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT97001 (CA)
- Practice address
- 1693 Mission Dr Ste 204
Solvang, CA 93463-2635 - Phone
- (805) 350-8862
- NPI assigned
- Apr 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT97001 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iliana Gelles, LMFT a Marriage and Family Therapy Professional Coorpor | Marriage & Family Therapist | Current |
Accepting new patients |
| Santa Barbara County Auditor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | LMFT97001 | CA | Yes |
Addresses
Primary practice location
1693 Mission Dr Ste 204
Solvang, CA 93463-2635
Mailing address
PO Box 1206
Buellton, CA 93427-1206
Phone (805) 350-8862
Other practice location 1
110 S C St
Suite A
Lompoc, CA 93436-7340
Phone (805) 735-4376
Other practice location 2
515 E Ocean Ave Ste E
Lompoc, CA 93436-6926
Phone (805) 350-8862
Other providers in Solvang, CA
- Lindsay Marin Fox
- Robert D France
- Mandy M Ganz
- Anthony R Garcia
- Garfield Beach CVS LLC
- Robert L. Gottesman
- Joshua Andrew Grant
- Katharyn Hagen
- Lisa Hall-Moore
- Kristen E. Hauenstein
All providers in Solvang, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.