Lotus Place Recovery, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LOTUS PLACE RECOVERY, LLC

Practice address

16480 Harbor Blvd Ste 200
Fountain Valley, CA 92708-1361

Phone

(714) 884-4408

Fax

(949) 835-4181

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Heidi K. Wells, LMFTNPI 1972810828

Title

Clinical Director

Phone

(415) 722-5063

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Heidi Kristen Wells, MA, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
  • NPI 1972810828
  NPD (past) Authorized official
• Susan Michelle Mannos, LMFT

  • Marriage & Family Therapist
  • Westminster, CA
  • NPI 1417464967

  Rehabilitation, Substance Use Disorder

  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1922485374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16480 HARBOR BLVD STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081361",
            "telephone_number": "714-884-4408",
            "fax_number": "949-835-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16480 HARBOR BLVD STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081361",
            "telephone_number": "714-884-4408",
            "fax_number": "949-835-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PLACE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "415-722-5063",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Lopez, PPS SCHOOL COUNSELOR
• Los Angeles Cardiology Associates
• Los Angeles Hematology-Oncology Medical Group
• Los Angeles Hematology-Oncology Medical Group
• Lotus Circle Counseling Services
• Tierney Marie Loveland-Grace, DPT
• Jessica Joy Loverso-Barnhart
• Loving Home Care HB LLC
• LQKT Corporation
• Irene Y Lu, LMFT

• Substance Use Disorder Rehabilitation Clinic/Center in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.