Active NPI
Elisa Richards
- Marriage & Family Therapist
- Mountain View, CA
National Provider Identifier
1629670500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 141282
- Practice address
- 1503 Grant Rd Ste 110
Mountain View, CA 94040-3270 - Phone
- (650) 484-1213
- Fax
- (408) 642-6052
- NPI assigned
- Nov 15, 2020
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | 141282 | CA | Primary |
Addresses
Primary practice location
1503 Grant Rd Ste 110
Mountain View, CA 94040-3270
Mailing address
826 Bay Ave
PO Box 1861
Capitola, CA 95010
Phone (831) 234-5036
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 |
|---|---|---|---|
| 141282 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1629670500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 BAY AVE",
"address_2": "PO BOX 1861",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "95010",
"telephone_number": "831-234-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 GRANT RD STE 110",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940403270",
"telephone_number": "650-484-1213",
"fax_number": "408-642-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "ELISA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-15",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "141282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.