Healthcare Provider Details

I. General information

NPI: 1912854266
Provider Name (Legal Business Name): JOSHUA STEFAN SURI LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5455 GARDEN GROVE BLVD STE 200
WESTMINSTER CA
92683-8201
US

IV. Provider business mailing address

5455 GARDEN GROVE BLVD STE 200
WESTMINSTER CA
92683-8201
US

V. Phone/Fax

Practice location:
  • Phone: 562-431-8822
  • Fax:
Mailing address:
  • Phone: 562-431-8822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number21594
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: