Organization Active NPI

Holistika LLC.

  • Community/Behavioral Health Agency
  • Lake Mary, FL
National Provider Identifier
1558069187
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOLISTIKA LLC.
Practice address
3074 W Lake Mary Blvd Ste 132
Lake Mary, FL 32746-6749
Phone
(407) 333-0404
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Mrs. Jossie Thurman, MS, RMHCINPI 1407562275
Title
Mental Health Counselor
Phone
(407) 455-0529

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3074 W Lake Mary Blvd Ste 132
Lake Mary, FL 32746-6749

Mailing address

414 Mohave Ter
Lake Mary, FL 32746-7009
Phone (908) 380-6643

National Provider Directory

National Provider Directory

Locations

3074 W Lake Mary Blvd
Ste 132
Lake Mary, FL 32746
Phone (386) 334-8430

Practitioners & affiliated clinicians

Practitioners 2

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": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1558069187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MOHAVE TER",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467009",
            "telephone_number": "908-380-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 W LAKE MARY BLVD STE 132",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466749",
            "telephone_number": "407-333-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIKA LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "JOSSIE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "407-455-0529",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, RMHCI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.