Individual provider Active NPI

Cassia Coelho Santa Helena, LMSW

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1275993750
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61977 Issued in TX
Practice address
2834 Colorado Ave
Suite #200
Santa Monica, CA 90404
Phone
(512) 567-4737
NPI assigned
Feb 26, 2016
Last updated
May 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 61977 TX Primary

Addresses

Primary practice location

2834 Colorado Ave
Suite #200
Santa Monica, CA 90404

Mailing address

3571 Far West Blvd # 3002
Austin, TX 78731-3064
Phone (512) 567-4737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 16, 2024 through Jul 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61977TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Choice, PLLC Clinical CurrentSince Jun 6, 2021 Accepting new patients

Locations

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1275993750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 FAR WEST BLVD # 3002",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313064",
            "telephone_number": "512-567-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 COLORADO AVE",
            "address_2": "SUITE #200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "512-567-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO SANTA HELENA",
        "first_name": "CASSIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.