Active NPI
Olivia C Hauge, MA, OTR/L, LMFT
- Marriage & Family Therapist
- Duarte, CA
National Provider Identifier
1255178091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 128864
- Practice address
- 1740 E. Huntington Blvd
#301
Duarte, CA 91010 - Phone
- (626) 379-9153
- NPI assigned
- Jul 10, 2024
- Last updated
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 128864 | CA | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 3203 | CA |
Addresses
Primary practice location
1740 E. Huntington Blvd
#301
Duarte, CA 91010
Mailing address
1740 E. Huntington Blvd
#301
Duarte, CA 91010
Phone (626) 379-9153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128864 | CA | MD | Marriage & Family Therapist |
| 3203 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1255178091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 E. HUNTINGTON BLVD",
"address_2": "#301",
"city": "DUARTE",
"state": "CA",
"postal_code": "91010",
"telephone_number": "626-379-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 E. HUNTINGTON BLVD",
"address_2": "#301",
"city": "DUARTE",
"state": "CA",
"postal_code": "91010",
"telephone_number": "626-379-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGE",
"first_name": "OLIVIA",
"middle_name": "C",
"credential": "MA, OTR/L, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "128864",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "3203",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duarte, CA
- Priscilla Grace Harrell, MD
- Roger Lee Harthrong, NP
- Hartunian and Nazarian Dental Partnership (duarte dental group)
- Ishmum Hasan, PHARMD
- Chen CHI Hau
- Autumn Joy Hawkins-Jimenez
- Jaclyn Kaleena Hawley
- Amanda Marie Dalia Hazeltine, DNP, MS, AGACNP-BC
- Health Care Partners, Inc.
- Matthew Louis Hedberg, MD, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.