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COLLECTIVE THERAPY GROUP
NPI 1912687708
Counselor - Mental Health in Lake Forest, CA

Active since July 18, 2023
22792 CENTRE DR STE 104, LAKE FOREST, CA 92630(714) 326-3722 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2023, Jul 18, 2023 (2 updates tracked since 2023).

About Collective Therapy Group NPPES

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

COLLECTIVE THERAPY GROUP (NPI 1912687708) is a healthcare organization registered as a mental health in Lake Forest, California and active in the NPI registry since July 2023. The organization lists Chandra Medina, Owner, as its authorized official.

NPPES Registry Identity

NPI1912687708
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameFREEDOM COLLECTIVE THERAPY GROUP
Location Address22792 CENTRE DR STE 104Lake Forest, CA 92630-6311
Mailing Address22792 Centre Dr Ste 104Lake Forest, CA 92630-6311 · (714) 326-3722
Phone(714) 326-3722
Organization SubpartNo
Authorized OfficialChandra MedinaOwner · (714) 326-3722
Enumeration DateJuly 18, 2023
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1912687708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
22792 CENTRE DR STE 104, Lake Forest, CA 92630
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Other Names 1

Doing Business AsCollective Therapy Group

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZOOM THERAPY SERVICES LLC
Clinic/Center
22792 CENTRE DR STE 104
LAKE FOREST, CA 92630
Orange County (949) 606-4681
CHANDRA MEDINA, MARRIAGE AND FAMILY THERAPY INC
Counselor (Mental Health)
22792 CENTRE DR STE 104
LAKE FOREST, CA 92630
Orange County (714) 326-3722

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 Freedom Collective Therapy Group's NPI number?

The NPI number for Freedom Collective Therapy Group is 1912687708. It was assigned to this organization in the NPPES registry on July 18, 2023. The provider is doing business as Collective Therapy Group.

Where is Freedom Collective Therapy Group located?

Freedom Collective Therapy Group is located at 22792 Centre Dr Ste 104, Lake Forest, CA 92630. The listed phone number is (714) 326-3722.

What is Freedom Collective Therapy Group's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Freedom Collective Therapy Group was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.