Elena Margaret Leah Rafael, M.A, LPCC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

14871 Nelson Way
San Jose, CA 95124-3525

Phone

(781) 799-6696

NPI assigned

May 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elena Margaret Leah Beals Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1760893317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14871 NELSON WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243525",
            "telephone_number": "781-799-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14871 NELSON WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243525",
            "telephone_number": "781-799-6696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "769 Plain St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "MA",
            "postal_code": "020502118",
            "country_code": "US",
            "telephone_number": "617-847-1950",
            "fax_number": "617-774-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFAEL",
        "first_name": "ELENA",
        "middle_name": "MARGARET LEAH",
        "credential": "M.A, LPCC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760893317",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "BEALS",
            "middle_name": "MARGARET LEAH",
            "credential": "LMHC, LPCC, MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ethan Radzinsky
• Tina Raei, M.D.
• Daphne Rael
• Christina Raes
• Jennifer Sue Raether, O.D.
• Weda Rafah-Fagiri, LCSW
• Sima Falsafi Rafati, D.D.S., M.S.
• Samrah Sehar Rafeeqi
• Shari Rafia
• Ahmad Reza Rafii, D.C

• Mental Health Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.