Individual provider Active NPI

Michael Donovan Olsen, M.A. MFT

  • Marriage & Family Therapist
  • Aledo, TX
National Provider Identifier
1184768913
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46226 Issued in CA
Practice address
PO Box 280
Aledo, TX 76008-0280
Phone
(626) 826-8091
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 14247058-3902 UT
Marriage & Family Therapist 106H00000X 46226 CA Primary
Marriage & Family Therapist 106H00000X 206148 TX

Addresses

Primary practice location

PO Box 280
Aledo, TX 76008-0280

Mailing address

PO Box 280
Aledo, TX 76008-0280
Phone (626) 826-8091

Other practice location 1

535 S 2nd Ave
Covina, CA 91723-3013
Phone (626) 974-0770 ext. 171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241011002877 CA Practitioner - Marriage and Family Therapist 2668904921 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
206148TXMDMarriage & Family Therapist
14247058-3902UTMDMarriage & Family Therapist
46226CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Enki Health Services, Inc. Current Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Nov 1, 2025 Accepting new patients
Enki Health Services, Inc CurrentSince Oct 3, 2024 Accepting new patients
Enki Health Services, Inc. CurrentSince Oct 3, 2024 Accepting new patients

Locations

6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337

3208 Rosemead Blvd
Ste 100
El Monte, CA 91731
Phone (626) 227-7001

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 4

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1184768913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760080280",
            "telephone_number": "626-826-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760080280",
            "telephone_number": "626-826-8091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917233013",
            "country_code": "US",
            "telephone_number": "626-974-0770 x171",
            "fax_number": "626-974-0774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MICHAEL",
        "middle_name": "DONOVAN",
        "name_prefix": "Mr.",
        "credential": "M.A. MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "14247058-3902",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46226",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "206148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aledo, TX

Sources for this page

Verify at the official NPI Registry.