Organization Active NPI

Native Soul Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Loma Linda, CA
National Provider Identifier
1346047792
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NATIVE SOUL WELLNESS
Practice address
25581 Barton Rd
Loma Linda, CA 92354-3125
Phone
(909) 498-0208
NPI assigned
Feb 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Authorized official

Name
Antoinette M Schrader, LPCCNPI 1720443112
Title
Owner and Clinical Director
Phone
(213) 884-5291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

25581 Barton Rd
Loma Linda, CA 92354-3125

Mailing address

25745 Barton Rd # 502
Loma Linda, CA 92354-3812
Phone (909) 498-0208

Other names 2

  • Native Soul Wellness Other name
  • Native Soul Wellness Center LLC Other name

National Provider Directory

National Provider Directory

Locations

25581 Barton Rd
Loma Linda, CA 92354
Phone (909) 498-0208

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742083200000",
    "number": "1346047792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25745 BARTON RD # 502",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543812",
            "telephone_number": "909-498-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25581 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543125",
            "telephone_number": "909-498-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE SOUL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER AND CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "213-884-5291",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Native Soul Wellness",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Native Soul Wellness Center LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Native Soul Wellness Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; 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.