Organization Active NPI

HJ Holistic Therapy PLLC

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1902673379
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HJ HOLISTIC THERAPY PLLC
Practice address
2914 Vienna LN
Kissimmee, FL 34744-5011
Phone
(407) 988-6983
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
Heejin RyooNPI 1457047169
Title
Owner
Phone
(407) 988-6983

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2914 Vienna LN
Kissimmee, FL 34744-5011

Mailing address

2914 Vienna LN
Kissimmee, FL 34744-5011
Phone (407) 988-6983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217001668 FL Part B Supplier - Clinic/Group Practice 1850828781 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

13538 Village Park Dr
Unit 220
Orlando, FL 32837
Phone (407) 494-3787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1902673379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 VIENNA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445011",
            "telephone_number": "407-988-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 VIENNA LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445011",
            "telephone_number": "407-988-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HJ HOLISTIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "RYOO",
        "authorized_official_first_name": "HEEJIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-988-6983"
    },
    "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 Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.