Holistic Community Therapy LLC

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

Legal business name

HOLISTIC COMMUNITY THERAPY LLC

Practice address

1336 NW Flanders St
Portland, OR 97209-2645

Phone

(503) 882-0988

NPI assigned

May 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Martin, OTD, MHA, OTR/LNPI 1790225712

Title

Clinical Director

Phone

(503) 882-0988

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, ID2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Kim, OT

  • Occupational Therapist
  • Portland, OR
  • NPI 1770258402
  Medicare reassignment Care Compare group NPD
• Elizabeth Martin, OTD, MHA, OTR/L

  • Mental Health Occupational Therapist
  • Portland, OR
  • NPI 1790225712
  Medicare reassignment NPD Authorized official
• Julie Kay Allen, OT

  • Occupational Therapist
  • Lynnwood, WA
  • NPI 1477657567

  OR

  Medicare reassignment Care Compare group NPD
• Tiffany Tung

  • Occupational Therapist
  • Portland, OR
  • NPI 1659085173
  Medicare reassignment NPD
• Bridget Wells, OTR/L, QMHP

  • Occupational Therapist
  • Portland, OR
  • NPI 1376329185

  Mental Health

  Medicare reassignment NPD
• Kiley Petencin

  • Occupational Therapist
  • Idaho Falls, ID
  • NPI 1639810823

  OR

  Medicare reassignment NPD
• Cassandra Zimmerman, OTR/L

  • Occupational Therapist
  • Portland, OR
  • NPI 1417498445
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1073179776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 NW FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092645",
            "telephone_number": "503-882-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 NW FLANDERS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092645",
            "telephone_number": "503-882-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC COMMUNITY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "503-882-0988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, MHA, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Holguin
• Gerald A. Holguin, M.D.
• Kina Francisca Holguin
• Shnonya Holiman
• Holistic & Integrative Psychotherapy, LLC
• Holistic Healing Behavioral Healthcare
• Holistic Healing PDX
• Holistic Mental Health, LLC
• Holistic Treatment Center & Spa
• Holistic Virtual Services

• Mental Health Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.