Organization Active NPI

Amethyst Holistic Counseling, a Professional Clinical Counselor Corp.

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1821916289
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jul 6, 2026

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.