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Elijah Richardson
NPI 1104365998 · Counselor · San Diego, CA
Elijah Richardson is a Counselor provider in San Diego, CA (NPI 1104365998).
Provider details
- NPI number
- 1104365998
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2535 Kettner Blvd
Suite 1a4
San Diego, CA 92101-1250
Phone: (619) 615-0701
Street-level locationGet directions
Mailing address
2535 Kettner Blvd
San Diego, CA 92101-1250
Registry dates
- Enumerated
- 2017-02-14
- Last updated
- 2017-02-14
Frequently asked questions
- What is Elijah Richardson's NPI number?
- Elijah Richardson's National Provider Identifier (NPI) is 1104365998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elijah Richardson's specialty?
- Elijah Richardson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Elijah Richardson located?
- Elijah Richardson's practice location on file with NPPES is 2535 Kettner Blvd, San Diego, CA 92101-1250.
- What is Elijah Richardson's phone number?
- The practice phone number listed in the NPPES registry for Elijah Richardson is (619) 615-0701.
- Is Elijah Richardson's NPI active?
- Yes — Elijah Richardson's NPI (1104365998) is active in the NPPES registry as of the last update on 2017-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.