Organization Active NPI

Holder Foundation

  • Marriage & Family Therapist
  • San Clemente, CA
National Provider Identifier
1407668262
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
HOLDER FOUNDATION
Practice address
302 N El Camino Real Ste 200
San Clemente, CA 92672-4778
Phone
(949) 427-1104
Fax
(949) 271-5541
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Beth Holder
Title
Owner
Phone
(949) 842-7884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

302 N El Camino Real Ste 200
San Clemente, CA 92672-4778

Mailing address

302 N El Camino Real Ste 200
San Clemente, CA 92672-4778
Phone (949) 427-1104

National Provider Directory

National Provider Directory

Locations

302 N El Camino Real
Ste 200
San Clemente, CA 92672
Phone (949) 427-1104

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": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1407668262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 200",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724778",
            "telephone_number": "949-427-1104",
            "fax_number": "949-271-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 200",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724778",
            "telephone_number": "949-427-1104",
            "fax_number": "949-271-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-842-7884"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.