Holistic Psychology Services LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

HOLISTIC PSYCHOLOGY SERVICES LLC

Practice address

189 W Clarkston Rd
Lake Orion, MI 48362-2892

Phone

(248) 989-6128

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Bethany Anne Crisp, LLPNPI 1891386421

Title

Master'S Level Psychologist

Phone

(248) 989-6128

Specialties & licenses 2

Addresses

Other names 1

• Holistic Psychology Services LLC Other name

Electronic endpoints 1

Locations

Practitioners 1

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

• Bethany Anne Crisp, LLP

  • Counseling Psychologist
  • Lake Orion, MI
  • NPI 1891386421
  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1306676069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 PERRY LAKE RD",
            "city": "ORTONVILLE",
            "state": "MI",
            "postal_code": "484629210",
            "telephone_number": "248-989-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 W CLARKSTON RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483622892",
            "telephone_number": "248-989-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PSYCHOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MASTER'S LEVEL PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-989-6128",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "b.a.crisp@pm.me",
            "affiliation": "N",
            "endpointDescription": "secure and encrypted business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "client-provider/provider-provider communication",
            "address_1": "189 W Clarkston Rd",
            "city": "Lake Orion",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483622892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Holistic Psychology Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristin K Henderson, MPT
• Hilary Kathryn Hendricks, DPT
• Samantha Jewel Henige, MA
• Deborah Ann Henry, R.N., N.P.
• John Henry Hintzman
• Tone I Holland, LPC, MA
• Gary P Holloway, D.O.
• Bryan Holt, LLPC
• Home Foot Care, P.C.
• Alexa Hongisto

• Counseling Psychologist in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.