Active NPI
Amethyst Holistic Counseling, a Professional Clinical Counselor Corp.
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1821916289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- AMETHYST HOLISTIC COUNSELING, A PROFESSIONAL CLINICAL COUNSELOR CORP.
- Practice address
- 5952 Trojan Ave
San Diego, CA 92115-5406 - Phone
- (619) 259-0744
- NPI assigned
- Jul 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lea M Roman, LPCC
- Title
- Owner
- Phone
- (214) 789-9025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5952 Trojan Ave
San Diego, CA 92115-5406
Mailing address
1050 University Ave Ste E107
#707
San Diego, CA 92103-3359
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1821916289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 UNIVERSITY AVE STE E107",
"address_2": "#707",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5952 TROJAN AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921155406",
"telephone_number": "619-259-0744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMETHYST HOLISTIC COUNSELING, A PROFESSIONAL CLINICAL COUNSELOR CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "LEA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-789-9025",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.