Organization Active NPI

Holistic Therapy LLC

  • Clinical Social Worker
  • Takoma Park, MD
National Provider Identifier
1679021570
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16570 Issued in MD
Legal business name
HOLISTIC THERAPY LLC
Practice address
7034 Carroll Ave Ste 1
Takoma Park, MD 20912-4434
Phone
(202) 495-0876
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Nikita Pion-Klockner, LCSWNPI 1912063991
Title
Owner/Psychotherapist
Phone
(202) 495-0876

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 16570 MD Primary

Addresses

Primary practice location

7034 Carroll Ave Ste 1
Takoma Park, MD 20912-4434

Mailing address

7034 Carroll Ave Ste 1
Takoma Park, MD 20912-4434
Phone (202) 495-0876

National Provider Directory

National Provider Directory

Locations

7034 Carroll Ave
Ste 1
Takoma Park, MD 20912
Phone (202) 495-0876

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": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1679021570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7034 CARROLL AVE STE 1",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124434",
            "telephone_number": "202-495-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7034 CARROLL AVE STE 1",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124434",
            "telephone_number": "202-495-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "PION-KLOCKNER",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "202-495-0876",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.