Individual provider Active NPI

Adria Olaleye, AMFT, 120787

  • Mental Health Counselor
  • Oxnard, CA
National Provider Identifier
1386217073
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
120787 Issued in CA
Practice address
679 Nile River Dr
Oxnard, CA 93036-5571
Phone
(805) 826-1409
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 120787 CA Primary

Addresses

Primary practice location

679 Nile River Dr
Oxnard, CA 93036-5571

Mailing address

9452 Telephone Rd Ste 122
Ventura, CA 93004-2600
Phone (301) 613-4687

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

LicenseStateTypeSpecialty
120787CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1386217073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9452 TELEPHONE RD STE 122",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930042600",
            "telephone_number": "301-613-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 NILE RIVER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930365571",
            "telephone_number": "805-826-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLALEYE",
        "first_name": "ADRIA",
        "credential": "AMFT, 120787",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "120787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.