Individual provider Active NPI

Elizabeth Ann Kelleher, M.A.

  • Marriage & Family Therapist
  • Santa Barbara, CA
National Provider Identifier
1417126426
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
149078 Issued in CA
Practice address
2565 Puesta del Sol
Santa Barbara, CA 93105-2936
Phone
(805) 395-8848
NPI assigned
Feb 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 52157 CA
Marriage & Family Therapist 106H00000X 149078 CA Primary

Addresses

Primary practice location

2565 Puesta del Sol
Santa Barbara, CA 93105-2936

Mailing address

133 E Valerio St
Santa Barbara, CA 93101-1913
Phone (805) 637-7505

Other practice location 1

923 Laguna St Ste B
Santa Barbara, CA 93101-7411
Phone (805) 395-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029001390 CA Practitioner - Marriage and Family Therapist 5092204156 Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

133 E Valerio St
Santa Barbara, CA 93101-1913

2565 Puesta del Sol
Suite 201
Santa Barbara, CA 93105-2936
Phone (805) 395-8848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF 52157CAMDMarriage & Family Therapist
149078CAMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1203724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1417126426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E VALERIO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011913",
            "telephone_number": "805-637-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 PUESTA DEL SOL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052936",
            "telephone_number": "805-395-8848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "923 Laguna St Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931017411",
            "country_code": "US",
            "telephone_number": "805-395-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-23",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 52157",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.