Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kintsugi Health

Organization Professional Counselor · NPI 1730745076

Kintsugi Health is a Professional Counselor in Laguna Hills, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
12
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Practice location Address checks out

24012 Calle De La Plata Ste 430
Laguna Hills, CA 92653-7623
Phone: (949) 500-8833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Professional Counselor Taxonomy 101YP2500X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Registered Nurse Taxonomy 163W00000X
Acupuncturist Taxonomy 171100000X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X
Massage Therapist Taxonomy 225700000X
Occupational Therapist Taxonomy 225X00000X
Physician Assistant Taxonomy 363A00000X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1730745076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tatyana Ellison — Medical Director · (949) 500-8833
Other names Kintsugi Mind Spa
NPI enumeratedMay 13, 2019
Last updated in NPPESMay 13, 2019
Mailing address24012 Calle De La Plata Ste 430, Laguna Hills, CA 92653-7623

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