Active NPI
Heal and Thrive Psychotherapy
- Clinical Social Worker
- Lake Forest, CA
National Provider Identifier
1245872571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HEAL AND THRIVE PSYCHOTHERAPY
- Practice address
- 22994 El Toro Rd # 120
Lake Forest, CA 92630-4961 - Phone
- (818) 606-1357
- Fax
- (714) 820-6794
- NPI assigned
- Oct 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rooz Khosh
- Title
- Ceo
- Phone
- (714) 459-2214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
22994 El Toro Rd # 120
Lake Forest, CA 92630-4961
Mailing address
22994 El Toro Rd # 120
Lake Forest, CA 92630-4961
Phone (818) 606-1357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103T00000X | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787529600000",
"number": "1245872571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22994 EL TORO RD # 120",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304961",
"telephone_number": "818-606-1357",
"fax_number": "714-820-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22994 EL TORO RD # 120",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304961",
"telephone_number": "818-606-1357",
"fax_number": "714-820-6794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAL AND THRIVE PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-08",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A",
"authorized_official_last_name": "KHOSH",
"authorized_official_first_name": "ROOZ",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-459-2214"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103T00000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.