Active NPI
Optimal Interventions
- Marriage & Family Therapist
- Santa Maria, CA
National Provider Identifier
1245772425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT8963
- Legal business name
- OPTIMAL INTERVENTIONS
- Practice address
- 301 S Miller St Ste 112
Santa Maria, CA 93454-5243 - Phone
- (805) 202-9335
- NPI assigned
- Nov 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ole Von Frausing-Borch, MSED, RN, LMFT
- Title
- Chief Executive Officer
- Phone
- (805) 202-9335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT8963 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | LMFT82011 | CA |
Addresses
Primary practice location
301 S Miller St Ste 112
Santa Maria, CA 93454-5243
Mailing address
PO Box 6574
Santa Maria, CA 93456-6574
Phone (805) 202-9335
National Provider Directory
National Provider DirectoryLocations
301 S Miller St
Ste 112
Santa Maria, CA 93454
Phone 8053610118 ext. 0118
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Santa Maria, CA
- NPI 1962689539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478304000000",
"number": "1245772425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6574",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934566574",
"telephone_number": "805-202-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S MILLER ST STE 112",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545243",
"telephone_number": "805-202-9335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL INTERVENTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-05",
"last_updated": "2016-11-05",
"status": "A",
"authorized_official_last_name": "VON FRAUSING-BORCH",
"authorized_official_first_name": "OLE",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "805-202-9335",
"authorized_official_credential": "MSED, RN, LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT8963",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT82011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.