Active NPI
Enna Ruth Opreanu O'Donnell, LMFT
- Marriage & Family Therapist
- Pacifica, CA
National Provider Identifier
1255983060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 119842
- Practice address
- 639 Moana Way
Pacifica, CA 94044-2841 - Phone
- (415) 577-3639
- NPI assigned
- Jul 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 119842 | CA | Primary |
Addresses
Primary practice location
639 Moana Way
Pacifica, CA 94044-2841
Mailing address
639 Moana Way
Pacifica, CA 94044-2841
Phone (415) 577-3639
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
| License | State | Type | Specialty |
|---|---|---|---|
| 119842 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relational Living | Marriage & Family Therapist | Current | Accepting new patients |
Organizations & group practices 1
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": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724544000000",
"number": "1255983060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 MOANA WAY",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940442841",
"telephone_number": "415-577-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 MOANA WAY",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940442841",
"telephone_number": "415-577-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "ENNA RUTH",
"middle_name": "OPREANU",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2024-08-25",
"certification_date": "2024-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacifica, CA
- Abby Breitman Nicholson, AMFT
- Kelly M Niess, MFTI 58694
- Mary Louise Ninan, M.A., M.S., CCC-SLP
- Loretta Mary O'Brien, D.C.
- Caroline Bea O'Devlin, SLP
- Oceanside Healing LLC
- Dayana Gisselle Orellana Sanchez
- Frida Sofia Ortiz-Blandon, M.S., CCC-SLP
- Pacific Neurohealth, a Psychological Corporation
- Pacifica Care Center, Inc. (Pacifica Nursing and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.