THE WHOLE SOUL COUNSELING, INDIVIDUAL AND FAMILY THERAPY, INC. (NPI# 1700383718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700383718 |
| Entity Type | Organization |
| Organization Name | THE WHOLE SOUL COUNSELING, INDIVIDUAL AND FAMILY THERAPY, INC. |
| Other Organization Name | THE WHOLE SOUL COUNSELING |
| Practice Address |
4125 Temescal St Ste A Fair Oaks CA 95628-7558 |
| Mailing Address |
4005 Manzanita Avenue Suite 6, #434 Carmichael CA 95608 |
| Practice Telephone | 9168776894 |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | LAUREN KRISTINA MAHAKIAN (DIRECTOR) |
| Authorized Official Telephone | 9168776894 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
82146 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| The Whole Soul Counseling | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1002 River Rock Dr Ste 230, Folsom, CA 956302094 | 9168776894 |
| Street Address |
4125 TEMESCAL ST STE A |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-7558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536337 | Whole Wellness Therapy, A Licensed Clinical Social Worker Corporation | Counselor | 4125 Temescal St Ste A, Fair Oaks, CA 95628-7558 | 2020-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164060893 | Emily Kincade | Social Worker | 8161 Niessen Way, Fair Oaks, CA 95628-2754 | 2019-12-12 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1609015817 | Lindsay Mahoney | Social Worker | 5150 Sunrise Blvd Ste G5, Fair Oaks, CA 95628-4965 | 2009-02-11 |
| 1962660811 | Sally Anne Fitts | Social Worker | 9700 Fair Oaks Blvd Ste G, Fair Oaks, CA 95628-7079 | 2008-05-28 |
| 1154547990 | Katie Arlene Baptist | Social Worker | 8030 Sacramento St, Fair Oaks, CA 95628-7527 | 2007-04-18 |
| 1023134087 | Patricia Juno Grimsman | Social Worker | 5050 Sunrise Blvd., Suite C-5, Fair Oaks, CA 95628 | 2007-03-22 |
| 1730221904 | Karen S Brockopp | Social Worker | 8580 Oakview Ln, Fair Oaks, CA 95628-6251 | 2007-02-13 |
| 1851466296 | Holli Jo Zandona | Social Worker | 9712 Fair Oaks Blvd Ste A1, Fair Oaks, CA 95628-7032 | 2006-11-21 |
| 1699877654 | Rochelle Marie Pears | Social Worker | 5150 Sunrise Blvd, Suite G-5, Fair Oaks, CA 95628-4939 | 2006-09-01 |
| 1093726176 | Carol Rhodes Wittich | Social Worker | 4115 Main St, Fair Oaks, CA 95628-7522 | 2006-08-11 |
| Find all providers in FAIR OAKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.