Kelli Shannon Nielsen, LPCC
NPI 1780491662ActiveIndividual· Counselor, Professional· Pasadena, CA
Counselor, Professional (LPCC) with Pacific Coast Psychiatric Associates Inc, practicing in Pasadena, California. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1780491662 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | No |
| NPI issued | Dec 14, 2024 |
| Last updated in NPPES | Mar 5, 2026 |
| Certified by provider | Mar 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 21583 | CA |
| Counselor, Mental Health | 101YM0800X | 21583 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CA) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Pacific Coast Psychiatric Associates IncEncinitas, CA · 662 clinicians
Other Counselor, Professional providers in Pasadena
- 1629668694
- 1073121026
- 1265258586
- 1215225214
- 1710010152
- 1700409760
- 1679076202
- 1588399844
- 1922689280
- 1902369762
- 1073417630
- 1104376011