Individual provider Active NPI

Hala R. Elshiwick, M.A.

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1902266745
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
91249 Issued in CA
Practice address
23181 La Cadena Dr Ste 104
Laguna Hills, CA 92653-1479
Phone
(949) 954-8029
NPI assigned
Mar 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 91249 CA Primary

Addresses

Primary practice location

23181 La Cadena Dr Ste 104
Laguna Hills, CA 92653-1479

Mailing address

PO Box 3794
Mission Viejo, CA 92690-3794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
91249CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Let'S Talk Marriage & Family Therapy, Inc. Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1902266745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3794",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926903794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23181 LA CADENA DR STE 104",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531479",
            "telephone_number": "949-954-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSHIWICK",
        "first_name": "HALA",
        "middle_name": "R.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.