NPIMap

Organization Active NPI

Wholeyou Integrative Health and Professional Clinical Counseling, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1477318517
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WHOLEYOU INTEGRATIVE HEALTH AND PROFESSIONAL CLINICAL COUNSELING, INC.
Practice address
11835 W Olympic Blvd Ste 815E
Los Angeles, CA 90064-5056
Phone
(424) 442-9842
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Sara Rose Van Koningsveld, MANPI 1104101310
Title
President/Founder
Phone
(424) 442-9842

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

11835 W Olympic Blvd Ste 815E
Los Angeles, CA 90064-5056

Mailing address

PO Box 642900
Los Angeles, CA 90064-8314
Phone (424) 442-9842

Other names 1

  • Sara R. van Koningsveld Other name

National Provider Directory

National Provider Directory

Locations

11835 W Olympic Blvd
Ste 815E
Los Angeles, CA 90064
Phone (323) 332-9905

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": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1477318517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900648314",
            "telephone_number": "424-442-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 815E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645056",
            "telephone_number": "424-442-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEYOU INTEGRATIVE HEALTH AND PROFESSIONAL CLINICAL COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A",
        "authorized_official_last_name": "VAN KONINGSVELD",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "424-442-9842",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara R. van Koningsveld",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 19, 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.