Holistic Psychotherapy Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HOLISTIC PSYCHOTHERAPY INC

Practice address

23331 El Toro Road
Suite 208
Lake Forest, CA 92630

Phone

(949) 463-2515

Fax

(949) 484-8931

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Mohammad Gezerseh, LMFTNPI 1548411218

Title

Manager/Owner

Phone

(949) 463-2515

Specialties & licenses 1

Addresses

Tax ID family

Holistic Psychotherapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holistic Psychotherapy Inc.

  • Mental Health Counselor
  • Lake Forest, CA
  • NPI 1548023963
  NPD tax ID

Practitioners 1

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

• Mohammad Max Gezerseh, LMFT

  • Marriage & Family Therapist
  • Irvine, CA
  • NPI 1548411218
  NPD (past) Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1316709652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 RONDA GRANADA",
            "address_2": "UNIT A",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "92637",
            "telephone_number": "949-463-2515",
            "fax_number": "949-484-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23331 EL TORO ROAD",
            "address_2": "SUITE 208",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "92630",
            "telephone_number": "949-463-2515",
            "fax_number": "949-484-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PSYCHOTHERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "GEZERSEH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "949-463-2515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hobson, RN
• Daniel Hodges
• Noel Edward Hoffmann
• Bei-Min Hoffnagle
• Jamie Hojnacki
• Holistic Psychotherapy Inc.
• Emily Homen
• Janine Leanne Hooper
• Horvath & Christensen OD Prof
• Joseph Fredeerick Houde, D.C.

• Mental Health Counselor in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.