Organization Active NPI

Heal and Thrive Psychotherapy

  • Clinical Social Worker
  • Lake Forest, CA
National Provider Identifier
1245872571
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Aug 24, 2026

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
103T00000XMedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.