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OPEN MIND MENTAL HEALTH PHYSICIANS, INC.
NPI 1093454423
Social Worker - Clinical in La Jolla, CA

Active since June 02, 2022
3252 HOLIDAY CT STE 204, LA JOLLA, CA 92037(855) 550-6463(833) 343-2244 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Open Mind Mental Health Physicians, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPEN MIND MENTAL HEALTH PHYSICIANS, INC. (NPI 1093454423), doing business as Open Mind Health, is a healthcare organization registered as a clinical in La Jolla, California and active in the NPI registry since June 2022. The organization maintains 19 additional practice locations and lists Kerry D Kozuki, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1093454423
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameOPEN MIND MENTAL HEALTH PHYSICIANS, INC.
Location Address3252 HOLIDAY CT STE 204La Jolla, CA 92037-1808
Mailing AddressPo Box 1429Salisbury, NC 28145-1429 · (206) 724-1722 · Fax (833) 453-0569
Phone(855) 550-6463
Fax(833) 343-2244
Organization SubpartNo
Authorized OfficialKerry D KozukiChief Operating Officer · (980) 224-0959
Enumeration DateJune 2, 2022
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1093454423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
3252 HOLIDAY CT STE 204, La Jolla, CA 92037
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Other Names 1

Doing Business AsOpen Mind Health

Secondary Practice Locations 19

Location 1715 Peachtree St NE Ste 100Atlanta, GA 30308-2179 · Phone (855) 550-6463
Location 22011 P St Fl 2Sacramento, CA 95811-5225 · Phone (855) 550-6463
Location 34000 Faber Place Dr Ste 300Charleston, SC 29405-8587 · Phone (855) 550-6463
Location 45101 Santa Monica Blvd # 800Los Angeles, CA 90029-2478 · Phone (855) 550-6463
Location 5322 N Shore Dr Bldg 1BPittsburgh, PA 15212-5875 · Phone (855) 550-6463
Location 61200 G St NW Ste 800Washington, DC 20005-6705 · Phone (855) 550-6463
Location 72 N Central Ave Fl 18Phoenix, AZ 85004-2322 · Phone (855) 550-6463
Location 8111 W Jackson Blvd Ste 1700Chicago, IL 60604-3597 · Phone (855) 550-6463
Location 91626 Locust StPhiladelphia, PA 19103-6305 · Phone (855) 550-6463
Location 10221 River St Ste 9Hoboken, NJ 07030-5990 · Phone (855) 550-6463
Location 11205 Hudson StNew York, NY 10013-1803 · Phone (855) 550-6463
Location 126701 Democracy Blvd Ste 300Bethesda, MD 20817-7500 · Phone (855) 550-6463
Location 13680 E Colorado Blvd Ste And2ndPasadena, CA 91101-6143 · Phone (855) 550-6463 · Fax (833) 453-0569
Location 141455 NW Leary Way Ste 400Seattle, WA 98107-5138 · Phone (855) 550-6463 · Fax (833) 453-0569
Location 15120 E Innes StSalisbury, NC 28144-5008 · Phone (855) 550-6463 · Fax (833) 453-0569
Location 1695 3rd StSan Francisco, CA 94103-3103 · Phone (855) 550-6463
Location 172021 Guadalupe St Ste 260Austin, TX 78705-5654 · Phone (855) 550-6463 · Fax (833) 453-0569
Location 188401 Mayland Dr Ste AHenrico, VA 23294-4648 · Phone (855) 550-6463
Location 19145 W Ostend St Ste 600Baltimore, MD 21230-3774 · Phone (855) 550-6463

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Open Mind Mental Health Physicians, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Open Mind Mental Health Physicians, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker10
Mental Health Counselor10
Marriage and Family Therapist8
Nurse Practitioner3
Psychiatry1

Nearest to this location (20)

See all 32
Aurora Romans, M.A., LMFT
Marriage and Family Therapist
NPI 1548460132
1241 CARLSBAD VILLAGE DR STE 103
Carlsbad, CA 92008
(760) 576-5885
✔ PECOS21 mi
Jael Noriega, LMFT
Marriage and Family Therapist
NPI 1760978027
1411 RIMPAU AVE STE 109
Corona, CA 92879
(661) 299-7636
✔ PECOS71 mi
Nanette Tangkeko
Marriage and Family Therapist
NPI 1184908758
4000 W METROPOLITAN DR
Orange, CA 92868
(201) 303-0916
✔ PECOS✔ Accepts Medicare74 mi
Jennifer Alonzo, APCC
Mental Health Counselor
NPI 1598373326
8739 SANTA MONICA BLVD
West Hollywood, CA 90069
(310) 623-1477
✔ PECOS✔ Accepts Medicare107 mi
Donna Sewell, LCSW
Clinical Social Worker
NPI 1225263239
412 TH MEDICAL GROUP SGHC 30 NIGHTINGALE ROAD
Edwards Afb, CA 93524
(404) 245-1344
✔ PECOS147 mi
Samantha Tatum, LCSW
Clinical Social Worker
NPI 1447837737
419 WEBSTER ST STE 202
Monterey, CA 93940
(408) 600-0089
✔ PECOS369 mi
Ashour Badal
Marriage and Family Therapist
NPI 1780041335
909 15TH ST STE 8
Modesto, CA 95354
(209) 529-7807
✔ PECOS✔ Accepts Medicare392 mi
Richard De La Garza, LCSW
Clinical Social Worker
NPI 1023451069
1245 S WINCHESTER BLVD STE 110
San Jose, CA 95128
(925) 282-1778
✔ PECOS406 mi
Alexandra Longsworth, M.A.
Marriage and Family Therapist
NPI 1417236647
5201 GREAT AMERICA PKWY STE 320
Santa Clara, CA 95054
(323) 205-7088
✔ PECOS✔ Accepts Medicare412 mi
Michael Green, MFT
Marriage and Family Therapist
NPI 1467589275
545 ESTUDILLO AVE
San Leandro, CA 94577
(510) 352-9200
✔ PECOS435 mi
Maria Estante, LMFT, LPCC
Marriage and Family Therapist
NPI 1225463029
2120 CONTRA COSTA BLVD # 1172
Pleasant Hill, CA 94523
(323) 705-4410
✔ PECOS443 mi
Madison Brock, LCSW
Clinical Social Worker
NPI 1285199638
2533 15TH ST APT 1
San Francisco, CA 94114
(832) 217-4225
✔ PECOS448 mi
Cameron Lewis
Marriage and Family Therapist
NPI 1801458138
2310 1ST ST
Napa, CA 94559
(707) 224-8266
✔ PECOS470 mi
Julie Thurman
Mental Health Counselor
NPI 1083281760
3857 MARTIN WAY E
Olympia, WA 98506
(360) 704-7170
✔ PECOS1,022 mi
David Teachout, BS
Mental Health Counselor
NPI 1437308517
9330 59TH AVE SW
Lakewood, WA 98499
(253) 620-5015
✔ PECOS1,025 mi
Diana Le, PMHNP-BC
Nurse Practitioner
NPI 1770390635
2302 CEDAR BRANCH DR
Austin, TX 78727
(512) 965-2246
✔ PECOS1,162 mi
Liliana Palacios, L.P.C
Mental Health Counselor
NPI 1497084511
326 S EDMONDS LN
Lewisville, TX 75067
(972) 768-2472
✔ PECOS1,173 mi
Adaamaka Ogbechie
Nurse Practitioner
NPI 1942672985
3906 PEBBLE HEIGHTS LN
Sugar Land, TX 77479
(907) 884-6882
✔ PECOS1,301 mi
Florence Amaikwu, DNP PMHNP-BC
Nurse Practitioner
NPI 1679164750
11890 HEALING WAY
Silver Spring, MD 20904
(240) 304-4959
✔ PECOS✔ Accepts Medicare2,278 mi
Valeria Serban, MD, PH.D.
Psychiatry
NPI 1306942933
6415 FOREST AVE
Ridgewood, NY 11385
(215) 964-1511
✔ PECOS✔ Accepts Medicare2,437 mi
See all 32 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Open Mind Mental Health Physicians, Inc.'s NPI number?

The NPI number for Open Mind Mental Health Physicians, Inc. is 1093454423. It was assigned to this organization in the NPPES registry on June 2, 2022. The provider is doing business as Open Mind Health.

Where is Open Mind Mental Health Physicians, Inc. located?

Open Mind Mental Health Physicians, Inc. is located at 3252 Holiday Ct Ste 204, La Jolla, CA 92037. The listed phone number is (855) 550-6463.

What is Open Mind Mental Health Physicians, Inc.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Open Mind Mental Health Physicians, Inc. enrolled in Medicare?

Yes. Open Mind Mental Health Physicians, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Open Mind Mental Health Physicians, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 5 Medicare specialties reassign their Medicare billing to Open Mind Mental Health Physicians, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (10), Mental Health Counselor (10) and Marriage and Family Therapist (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Open Mind Mental Health Physicians, Inc. accept?

Health plans from Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Open Mind Mental Health Physicians, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Open Mind Mental Health Physicians, Inc. was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.