Organization Active NPI

A Holistic Therapy Group LLC

  • Clinical Social Worker
  • Clayton, MO
National Provider Identifier
1184257149
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
A HOLISTIC THERAPY GROUP LLC
Practice address
7733 Forsyth Blvd FL 11
Clayton, MO 63105-1878
Phone
(813) 530-5257
NPI assigned
Feb 18, 2020
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Miss Ashley A Nazon, LCSWNPI 1609335884
Title
Owner
Phone
(773) 203-7263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

7733 Forsyth Blvd FL 11
Clayton, MO 63105-1878

Mailing address

PO Box 6771
Brandon, FL 33508-6013
Phone (773) 203-7263

Other practice location 1

4514 Cole Ave Ste 600
Dallas, TX 75205-4193
Phone (773) 203-7263

Other practice location 2

5323 Millenia Lakes Blvd Ste 300
Orlando, FL 32839-3395
Phone (813) 530-5257

Other practice location 3

15310 Amberly Dr Ste 250
Tampa, FL 33647-1642
Phone (773) 203-7263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, GA, MO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20200529000773 FL Part B Supplier - Clinic/Group Practice 1254752249 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL; Tampa, FL
O20220603001504 TX Part B Supplier - Clinic/Group Practice 1254752249 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX
O20220630000879 GA Part B Supplier - Clinic/Group Practice 1254752249 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20260211003878 MO Part B Supplier - Clinic/Group Practice 1254752249 Receives reassigned benefits from 1 practitioner
Practice locations: Clayton, MO

National Provider Directory

National Provider Directory

Locations

1201 Peachtree St NE
Fl 1
Atlanta, GA 30361
Phone (773) 203-7263

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1184257149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6771",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335086013",
            "telephone_number": "773-203-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 FORSYTH BLVD FL 11",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051878",
            "telephone_number": "813-530-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4514 Cole Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752054193",
            "country_code": "US",
            "telephone_number": "773-203-7263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 Millenia Lakes Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328393395",
            "country_code": "US",
            "telephone_number": "813-530-5257",
            "fax_number": "813-441-7754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15310 Amberly Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336471642",
            "country_code": "US",
            "telephone_number": "773-203-7263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A HOLISTIC THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "NAZON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-203-7263",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.