Active NPI
Kelli Washington
- Mental Health Counselor
- Redondo Beach, CA
National Provider Identifier
1821462151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5941
- Practice address
- 407 Avenue G Apt 31
Redondo Beach, CA 90277-5920 - Phone
- (801) 200-5537
- NPI assigned
- Nov 24, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9570922-6004 | UT | |
| Mental Health Counselor | 101YM0800X | 9570922-6009 | UT | |
| Mental Health Counselor | 101YM0800X | 5941 | CA | Primary |
Addresses
Primary practice location
407 Avenue G Apt 31
Redondo Beach, CA 90277-5920
Mailing address
407 Avenue G Apt 31
Redondo Beach, CA 90277-5920
Phone (801) 200-5537
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 |
|---|---|---|---|
| 9570922-6004 | UT | MD | Mental Health Counselor |
| 9570922-6009 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1821462151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 AVENUE G APT 31",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775920",
"telephone_number": "801-200-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 AVENUE G APT 31",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902775920",
"telephone_number": "801-200-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-24",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "9570922-6004",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "9570922-6009",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "5941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.