Organization Active NPI

Head to Health LCSW Integrative Psychotherapy Services

  • Mental Health Counselor
  • Long Beach, CA
National Provider Identifier
1881589513
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEAD TO HEALTH LCSW INTEGRATIVE PSYCHOTHERAPY SERVICES
Practice address
21 Mira Mar Ave
Long Beach, CA 90803-2879
Phone
(510) 415-1480
NPI assigned
Jun 11, 2025
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Tacora Camille Thomas, LCSWNPI 1649500323
Title
Owner/Clinician
Phone
(510) 415-1480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

21 Mira Mar Ave
Long Beach, CA 90803-2879

Mailing address

375 Redondo Ave # 1135
Long Beach, CA 90814-2656
Phone (510) 415-1480

Other names 1

  • HEAD TO HEALTH LCSW INTEGRATIVE INTEGRATIVE PSYCHOTHERAPY SERVICES Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1881589513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 REDONDO AVE # 1135",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142656",
            "telephone_number": "510-415-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MIRA MAR AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908032879",
            "telephone_number": "510-415-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD TO HEALTH LCSW INTEGRATIVE PSYCHOTHERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TACORA CAMILLE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "510-415-1480",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAD TO HEALTH LCSW INTEGRATIVE INTEGRATIVE PSYCHOTHERAPY SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.