Active NPI
Holly Tse, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1780134221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112930
- Practice address
- 4305 Gesner St Ste 215
San Diego, CA 92117-6677 - Phone
- (619) 268-1121
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF61331135 | WA | |
| Marriage & Family Therapist | 106H00000X | 112930 | CA | Primary |
Addresses
Primary practice location
4305 Gesner St Ste 215
San Diego, CA 92117-6677
Mailing address
4305 Gesner St Ste 215
San Diego, CA 92117-6677
Phone (619) 268-1211
Other names 1
- Holly Stangle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF61331135 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Safe Place to Grow Family Therapy and Wellness, Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Chris E Esguerra MD PC | Past | Accepting new patients | |
| Seneca Family of Agencies | Past | Accepting new patients |
Locations
4305 Gesner St
Ste 215
San Diego, CA 92117
Phone (619) 268-1121
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1790652071
-
- Multi-Specialty Clinic/Center
- Atascadero, CA
- NPI 1801474598
-
- Community/Behavioral Health Agency
- Atascadero, CA
- NPI 1376821884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1780134221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 GESNER ST STE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176677",
"telephone_number": "619-268-1211",
"fax_number": "805-835-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 GESNER ST STE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921176677",
"telephone_number": "619-268-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSE",
"first_name": "HOLLY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-07",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF61331135",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "STANGLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.