Organization Active NPI

Sarah Kelly Licensed Professional Clinical Counselor, Inc.

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1508746736
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SARAH KELLY LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC.
Practice address
11341 National Blvd # 1150
Los Angeles, CA 90064-3726
Phone
(213) 373-1919
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Sarah Kelly, LPCCNPI 1215556857
Title
Therapist
Phone
(213) 373-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11341 National Blvd # 1150
Los Angeles, CA 90064-3726

Mailing address

11341 National Blvd # 1150
Los Angeles, CA 90064-3726
Phone (213) 373-1919

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1508746736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11341 NATIONAL BLVD # 1150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643726",
            "telephone_number": "213-373-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11341 NATIONAL BLVD # 1150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643726",
            "telephone_number": "213-373-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH KELLY LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "213-373-1919",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.