Active NPI
Elizabeth Ann Kelleher, M.A.
- Marriage & Family Therapist
- Santa Barbara, CA
National Provider Identifier
1417126426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 149078
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 52157 | CA | MD | Marriage & Family Therapist |
| 149078 | CA | MD | Infectious 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.