Olive Branch Mental Health Therapy PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OLIVE BRANCH MENTAL HEALTH THERAPY PLLC

Practice address

920 W King St Ste B
Boone, NC 28607-3467

Phone

(828) 278-8282

Fax

(828) 575-5330

NPI assigned

Aug 25, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Olivia Vallecillo, NCC, LCMHCNPI 1821666983

Title

Owner

Phone

(828) 278-8282

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Michal Vallecillo, MA, LCMHC-A

  • Mental Health Counselor
  • Boone, NC
  • NPI 1821666983
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1295613651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W KING ST STE B",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073467",
            "telephone_number": "828-278-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W KING ST STE B",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286073467",
            "telephone_number": "828-278-8282",
            "fax_number": "828-575-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH MENTAL HEALTH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "VALLECILLO",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-278-8282",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCC, LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Boone, NC
• Providers in Boone, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.