MEDICARE: CLICKTALK MENTAL HEALTH COUNSELING

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1578418901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLICKTALK MENTAL HEALTH COUNSELING

Provider Business Mailing Address
First Line	:	34 ERICSON AISLE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-5722
Country	:	US
Telephone Number	:	949-973-6789
Fax Number	:	669-800-8409

Provider Business Practice Location Address
First Line	:	34 ERICSON AISLE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-5722
Country	:	US
Telephone Number	:	949-973-6789
Fax Number	:	669-800-8409

Authorized Official
Title or Position	:	PSY,D LMFT
Name	:	SHIFTEH ASODI-DEYLAMI
Credential	:	PSY, D, LMFT
Telephone Number	:	949-973-6789

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “CLICKTALK MENTAL HEALTH COUNSELING ” Practice Location

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