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ELIZABETH KELISHADI
NPI 1124543236
Counselor - Mental Health in Venice, CA

Active since August 09, 2017
204 HAMPTON DR, VENICE, CA 90291(310) 396-6468(310) 392-8402 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2019, Aug 9, 2017 (2 updates tracked since 2017).

About Elizabeth Kelishadi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH KELISHADI (NPI 1124543236) is an individual mental health provider in Venice, California, licensed in California (ACSW90477) and active in the NPI registry since August 2017. She maintains a secondary practice location in Fountain Valley.

NPPES Registry Identity

NPI1124543236
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH KELISHADI
Location Address204 HAMPTON DRVenice, CA 90291-8633
Mailing Address3045 ScholarshipIrvine, CA 92612-4420
Phone(310) 396-6468
Fax(310) 392-8402
Sole ProprietorNo
Enumeration DateAugust 9, 2017
Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration
✔ NPI 1124543236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · ACSW90477
204 HAMPTON DR, Venice, CA 90291
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Secondary Practice Location 1

Location 118350 Mount Langley St Ste 220Fountain Valley, CA 92708-6912 · Phone (714) 450-4128

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KARA LEIGH SMITH
Social Worker (Clinical)
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
JORGE GUERREIRO JR.
Counselor (Mental Health)
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
BANNUPRIYA RAMACHANDRAN
Counselor (Mental Health)
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
FLYNN LOUISE KLACE
Student in an Organized Health Care Education/Training Program
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 396-6468
KATIE LEWIS
Case Manager/Care Coordinator
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 399-6878
LAURIE ADRIANE MILLAN
Student in an Organized Health Care Education/Training Program
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (310) 309-6001
CARRIE ELIZABETH SEAY
Case Manager/Care Coordinator
204 HAMPTON DR, 13
VENICE, CA 90291
Los Angeles County (310) 399-6878
DR. JOSEPH RYAN MCCOWAN PSYD
Psychologist
204 HAMPTON DR
VENICE, CA 90291
Los Angeles County (323) 840-4758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Kelishadi's NPI number?

The NPI number for Elizabeth Kelishadi is 1124543236. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Where is Elizabeth Kelishadi located?

Elizabeth Kelishadi practices at 204 Hampton Dr, Venice, CA 90291. The listed phone number is (310) 396-6468.

What is Elizabeth Kelishadi's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Elizabeth Kelishadi was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.