Organization Active NPI

Soul Collective Therapy

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1356212419
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUL COLLECTIVE THERAPY
Practice address
835 Wilshire Blvd 5TH Floor #387
Los Angeles, CA 90017-2603
Phone
(818) 300-8448
NPI assigned
Sep 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Authorized official

Name
Hedyeh Rezaei, LCSW
Title
Owner
Phone
(818) 300-8448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

835 Wilshire Blvd 5TH Floor #387
Los Angeles, CA 90017-2603

Mailing address

835 Wilshire Blvd 5TH Floor #387
Los Angeles, CA 90017
Phone (818) 300-8448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757721600000",
    "number": "1356212419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 WILSHIRE BLVD 5TH FLOOR #387",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90017",
            "telephone_number": "818-300-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 WILSHIRE BLVD 5TH FLOOR #387",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172603",
            "telephone_number": "818-300-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL COLLECTIVE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A",
        "authorized_official_last_name": "REZAEI",
        "authorized_official_first_name": "HEDYEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-300-8448",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.