Individual provider Active NPI

Holly Tse, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1780134221
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112930 Issued in CA
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

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
LF61331135WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.