IndividualActive
Elizabeth Kelishadi
NPI 1124543236 · Mental Health Counselor · Venice, CA
Elizabeth Kelishadi is a Mental Health Counselor provider in Venice, CA (NPI 1124543236).
Provider details
- NPI number
- 1124543236
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- ACSW90477 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
204 Hampton Dr
Venice, CA 90291-8633
Phone: (310) 396-6468
Fax: (310) 392-8402
Street-level locationGet directions
Mailing address
3045 Scholarship
Irvine, CA 92612-4420
Additional practice locations (1)
- 18350 Mount Langley St Ste 220Fountain Valley, CA 92708-6912Phone: (714) 450-4128
Registry dates
- Enumerated
- 2017-08-09
- Last updated
- 2019-12-12
- Certified
- 2019-12-12
Frequently asked questions
- What is Elizabeth Kelishadi's NPI number?
- Elizabeth Kelishadi's National Provider Identifier (NPI) is 1124543236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Kelishadi's specialty?
- Elizabeth Kelishadi is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Elizabeth Kelishadi located?
- Elizabeth Kelishadi's practice location on file with NPPES is 204 Hampton Dr, Venice, CA 90291-8633.
- What is Elizabeth Kelishadi's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Kelishadi is (310) 396-6468.
- Is Elizabeth Kelishadi's NPI active?
- Yes — Elizabeth Kelishadi's NPI (1124543236) is active in the NPPES registry as of the last update on 2019-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.