Active NPI
Staci Elayne Elkins
- Mental Health Counselor
- Calabasas, CA
National Provider Identifier
1497470322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT133915
- Practice address
- 5016 Parkway Calabasas Ste 220
Calabasas, CA 91302-3900 - Phone
- (818) 591-3000
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AMFT133915 | CA | Primary |
Addresses
Primary practice location
5016 Parkway Calabasas Ste 220
Calabasas, CA 91302-3900
Mailing address
5016 Parkway Calabasas Ste 220
Calabasas, CA 91302-3900
Phone (818) 591-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT133915 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1497470322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5016 PARKWAY CALABASAS STE 220",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913023900",
"telephone_number": "818-591-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5016 PARKWAY CALABASAS STE 220",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913023900",
"telephone_number": "818-591-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "STACI",
"middle_name": "ELAYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT133915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Elyse Corman LMFT, a Licensed Marriage and Family Therapy Corporation
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- Ensele Enterprises Consulting Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.