Organization Active NPI

Whole Life Recovery, LLC

  • Adult Mental Health Clinic/Center
  • San Juan Capistrano, CA
National Provider Identifier
1629451661
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
84751 Issued in CA
Legal business name
WHOLE LIFE RECOVERY, LLC
Practice address
32122 Camino Capistrano
Suite 100
San Juan Capistrano, CA 92675-3734
Phone
(949) 294-5104
NPI assigned
Jul 8, 2015
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Melody Joy Stone, LMFTNPI 1831572841
Title
Program Director/Therapist
Phone
(949) 294-5104

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
Adult Mental Health Clinic/Center 261QM0850X 84751 CA Primary

Addresses

Primary practice location

32122 Camino Capistrano
Suite 100
San Juan Capistrano, CA 92675-3734

Mailing address

32122 Camino Capistrano
Suite 100
San Juan Capistrano, CA 92675-3734
Phone (949) 294-5104

National Provider Directory

National Provider Directory

Locations

32122 Camino Capistrano
Ste 100
San Juan Capistrano, CA 92675
Phone (888) 963-8921

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1629451661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32122 CAMINO CAPISTRANO",
            "address_2": "SUITE 100",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753734",
            "telephone_number": "949-294-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32122 CAMINO CAPISTRANO",
            "address_2": "SUITE 100",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753734",
            "telephone_number": "949-294-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "949-294-5104",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "84751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.