Individual provider Active NPI

Todd Olthoff, LMFT

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1063952141
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98629 Issued in CA
Practice address
27001 La Paz Rd
Suite 300B
Mission Viejo, CA 92691-5502
Phone
(949) 872-3243
NPI assigned
Mar 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 98629 CA Primary

Addresses

Primary practice location

27001 La Paz Rd
Suite 300B
Mission Viejo, CA 92691-5502

Mailing address

26131 Marguerite Pkwy Ste a
Mission Viejo, CA 92692-3161
Phone (949) 872-3243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
98629CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1063952141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26131 MARGUERITE PKWY STE A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923161",
            "telephone_number": "949-872-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 LA PAZ RD",
            "address_2": "SUITE 300B",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915502",
            "telephone_number": "949-872-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTHOFF",
        "first_name": "TODD",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.