Elliot Leauanae

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3491 Kurtz St Ste 150
San Diego, CA 92110-4430

Phone

(619) 320-2404

NPI assigned

Nov 8, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Haven Youth & Family Services, Inc

  • Case Management Agency
  • Vista, CA
  • NPI 1336201490
  NPD (past)

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1881136877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3491 KURTZ ST STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104430",
            "telephone_number": "619-320-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 KURTZ ST STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104430",
            "telephone_number": "619-320-2404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 W Los Angeles Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920833101",
            "country_code": "US",
            "telephone_number": "760-630-4035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAUANAE",
        "first_name": "ELLIOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Leary, D.D.S.
• Heather Leash
• Keri Leasure
• Jason Travis Leatherman, LVN
• Shea Loren Leathley, M.S., CCC-SLP
• Lana Leaverton
• Megan Colleen Leavey
• Pooja Lebbin, RN
• Kristina V Lebedeva
• Jessa Lebens

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, 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 Apr 8, 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.

Verify at the official NPI Registry.