Olivia Stephanie Aggas, ADTSIII
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ventura, CA
NPI 1124286638 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1124286638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 7957 (CA)
- Practice address
- 5740 Ralston St Ste 200
Ventura, CA 93003-6009 - Phone
- (805) 662-1774
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7957 | CA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7957 | CA | Yes |
Addresses
Primary practice location
5740 Ralston St Ste 200
Ventura, CA 93003-6009
Mailing address
5740 Ralston St Ste 200
Ventura, CA 93003-6009
Phone (805) 662-1774
NPI Registry JSON
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1124286638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5740 RALSTON ST STE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036009",
"telephone_number": "805-662-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5740 RALSTON ST STE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036009",
"telephone_number": "805-662-1774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGGAS",
"first_name": "OLIVIA",
"middle_name": "STEPHANIE",
"credential": "ADTSIII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2025-03-10",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "7957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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All providers in Ventura, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.