Individual provider Active NPI

Erin Michelle Opdahl, LMFT

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1316371677
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3150 E Los Angeles Ave
Simi Valley, CA 93065-3940
Phone
(805) 577-1724
NPI assigned
Aug 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3150 E Los Angeles Ave
Simi Valley, CA 93065-3940

Mailing address

125 W Thousand Oaks Blvd Ste 400
Thousand Oaks, CA 91360-4461
Phone (805) 890-9787

Other names 1

  • Erin Michelle Calderon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912003091 CA Practitioner - Marriage and Family Therapist 4688114929 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jul 2, 2024 Accepting new patients
County of Ventura CurrentSince Jul 2, 2024 Accepting new patients

Locations

1911 Williams Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-4221

3150 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 577-0830

125 W Thousand Oaks Blvd
Ste 400
Thousand Oaks, CA 91360
Phone (805) 777-3500

800 S Victoria Ave
#4615
Ventura, CA 93009
Phone (805) 677-5119

Organizations & group practices 2

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1316371677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 400",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604461",
            "telephone_number": "805-890-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653940",
            "telephone_number": "805-577-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPDAHL",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CALDERON",
            "middle_name": "MICHELLE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.