Holistic Honu Wellness Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

HOLISTIC HONU WELLNESS CENTER

Practice address

1611 San Pablo Ave Ste 1
Berkeley, CA 94702-1367

Phone

(916) 416-0491

NPI assigned

Oct 12, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Leslie Susan KoNPI 1457856965

Title

Executive Director

Phone

(916) 416-0491

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Susan Ko, LCMT, BCTMB

  • Massage Therapist
  • Berkeley, CA
  • NPI 1457856965
  NPD Authorized official

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743292800000",
    "number": "1649090929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 CEDAR ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021221",
            "telephone_number": "916-416-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SAN PABLO AVE STE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021367",
            "telephone_number": "916-416-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HONU WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-12",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-416-0491",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Charles Hoffman, LMFT
• Stacey A Hoffman, MFT
• Christa Hogan, PSYD
• Kimberley Hoglund, RN
• Jose Carlo Hojilla, RN
• Anya Rogala Holit-Gsell, ASW
• Jonathan A Hollander, MD
• Shari Hollander, R.D., CDE
• Lauryn Holloway, LMFT
• Clairemarie Holman, DC

• Community Health Clinic/Center in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.