Organization Active NPI

Bodhi Wellness Collective PC

  • Marriage & Family Therapist
  • Hermosa Beach, CA
National Provider Identifier
1720992654
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BODHI WELLNESS COLLECTIVE PC
Practice address
2200 Pacific Coast Hwy Ste 308
Hermosa Beach, CA 90254-2702
Phone
(310) 818-3630
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Mr. John Martin Foley, LMFT
Title
President
Phone
(310) 818-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

2200 Pacific Coast Hwy Ste 308
Hermosa Beach, CA 90254-2702

Mailing address

2200 Pacific Coast Hwy Ste 308
Hermosa Beach, CA 90254-2702
Phone (310) 818-3630

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1720992654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 308",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542702",
            "telephone_number": "310-818-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 308",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542702",
            "telephone_number": "310-818-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI WELLNESS COLLECTIVE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-818-3630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.