Individual provider Active NPI

Yvonne Leeann Olivo

  • Marriage & Family Therapist
  • Campbell, CA
National Provider Identifier
1144795014
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
95909 Issued in CA
Practice address
197 E Hamilton Ave Ste 203
Campbell, CA 95008-0261
Phone
(559) 901-0643
NPI assigned
Oct 8, 2018
Reactivated
Jun 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 95909 CA Primary

Addresses

Primary practice location

197 E Hamilton Ave Ste 203
Campbell, CA 95008-0261

Mailing address

3272 N Whirlwind Ave
Meridian, ID 83646-6128
Phone (559) 901-0643

Other practice location 1

15495 Los Gatos Blvd Ste 5
Los Gatos, CA 95032-2544
Phone (408) 679-2160

Other practice location 2

5045 N Rosepoint Way
Boise, ID 83713-0903
Phone (559) 901-0643

Other names 1

  • Yvonne Leeann Abarca Former name

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
95909CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olivo Family Therapy Marriage & Family Therapist PastSince May 8, 2022 Accepting new patients
The Brown Therapy Group Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1144795014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 N WHIRLWIND AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466128",
            "telephone_number": "559-901-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 E HAMILTON AVE STE 203",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080261",
            "telephone_number": "559-901-0643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15495 Los Gatos Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322544",
            "country_code": "US",
            "telephone_number": "408-679-2160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5045 N Rosepoint Way",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837130903",
            "country_code": "US",
            "telephone_number": "559-901-0643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVO",
        "first_name": "YVONNE",
        "middle_name": "LEEANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "deactivation_date": "2019-06-04",
        "reactivation_date": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "95909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "ABARCA",
            "middle_name": "LEEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.