MEDICARE: EMBODIED LIVING COUNSELING LICENSED PROFESSIONAL CLINICAL COUNSELOR PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1881527828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMBODIED LIVING COUNSELING LICENSED PROFESSIONAL CLINICAL COUNSELOR PC

Provider Business Mailing Address
First Line	:	7770 WESTSIDE DR APT 306
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7770 WESTSIDE DR APT 306
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1214
Country	:	US
Telephone Number	:	619-701-6077
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELIZABETH CALABRESE
Credential	:	LPCC
Telephone Number	:	619-701-6077

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1174100994 — ALEXANDER DANNIN LMFT
Practice Location Address:

7770 WESTSIDE DR APT 303
SAN DIEGO, CA
92108-1214

Practice Phone: 919-795-6447
Practice Fax:

1962358283 — EMBODIED LIVING COUNSELING
Practice Location Address:

7770 WESTSIDE DR APT 306
SAN DIEGO, CA
92108-1214

Practice Phone: --
Practice Fax:

1316085426 — BRANDI AAGESON
Practice Location Address:

7867 CONVOY CT STE 307
SAN DIEGO, CA
92111-1214

Practice Phone: 858-278-1137
Practice Fax:

1710026232 — JOAN AYERS
Practice Location Address:

7867 CONVOY CT STE 307
SAN DIEGO, CA
92111-1214

Practice Phone: 858-298-1137
Practice Fax:

1316087752 — MARCIA BAAS
Practice Location Address:

7867 CONVOY CT STE 307
SAN DIEGO, CA
92111-1214

Practice Phone: 858-278-1137
Practice Fax:

Directions to “EMBODIED LIVING COUNSELING LICENSED PROFESSIONAL CLINICAL COUNSELOR PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.