Active NPI
Diane Kirstin Odou, M.A., M.F.T.
- Marriage & Family Therapist
- Murrieta, CA
National Provider Identifier
1265699441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC35672
- Practice address
- 41700 Ivy St
Suite B
Murrieta, CA 92562 - Phone
- (951) 326-4223
- Fax
- (951) 695-7316
- NPI assigned
- May 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC35672 | CA | Primary |
Addresses
Primary practice location
41700 Ivy St
Suite B
Murrieta, CA 92562
Mailing address
41700 Ivy St
Suite B
Murrieta, CA 92562
Phone (951) 326-4223
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC35672 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1265699441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41700 IVY ST",
"address_2": "SUITE B",
"city": "MURRIETA",
"state": "CA",
"postal_code": "92562",
"telephone_number": "951-326-4223",
"fax_number": "951-695-7316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41700 IVY ST",
"address_2": "SUITE B",
"city": "MURRIETA",
"state": "CA",
"postal_code": "92562",
"telephone_number": "951-326-4223",
"fax_number": "951-695-7316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSTIN ODOU",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "M.A., M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC35672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.