Active NPI
Soul Collective Therapy
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1356212419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryNPI 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.