Its Holistic Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ITS HOLISTIC THERAPY LLC

Practice address

6501 Arlington Expy Ste 109
Jacksonville, FL 32211-5779

Phone

(904) 208-0760

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Tanitha Nicholas

Title

Ceo

Phone

(904) 208-0760

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Reylius Thompson Jr.

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1013461946
  Medicare reassignment NPD
• Patricia Johnston

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1114434602
  Medicare reassignment
• Tanitha Williams

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1821496977
  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1205675329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 ARLINGTON EXPY STE 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115779",
            "telephone_number": "904-855-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 ARLINGTON EXPY STE 109",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115779",
            "telephone_number": "904-208-0760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Main St # 625",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "VA",
            "postal_code": "234301324",
            "country_code": "US",
            "telephone_number": "904-855-7084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ITS HOLISTIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "TANITHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-208-0760"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shavonna Jewdeyah Israel
• Krishna Israni, M.D.
• Niemat Issa
• Rommy Issa, M.D.
• Amihan Noelle Culi Iszler, DPT
• Ivan Guerrero MD PA
• Alina Ivaniuk, MD
• Jacqueline Ivey
• Karon Irene Ivey, LMHC
• Petronia D Ivey

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.