Organization Active NPI

Holistic Health Center for Personal Growth and Healing

  • Mental Health Counselor
  • Forest Hills, NY
National Provider Identifier
1740587153
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002281 Issued in NY
Legal business name
HOLISTIC HEALTH CENTER FOR PERSONAL GROWTH AND HEALING
Practice address
7613 113TH St
Forest Hills, NY 11375-6587
Phone
(347) 255-2087
NPI assigned
Feb 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Ms. Kristie Doheny, LMHC, LMSW
Title
Psychotherapist
Phone
(347) 255-2087

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 002281 NY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 081087 NY

Addresses

Primary practice location

7613 113TH St
Forest Hills, NY 11375-6587

Mailing address

8530 262ND St
Floral Park, NY 11001-1128
Phone (357) 255-2087

Other identifiers 1

IdentifierTypeStateIssuer
1225361421OtherNYNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1740587153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 262ND ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011128",
            "telephone_number": "357-255-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 113TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756587",
            "telephone_number": "347-255-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH CENTER FOR PERSONAL GROWTH AND HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "DOHENY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "347-255-2087",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, LMSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "002281",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081087",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225361421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.