Individual provider Active NPI

Penny A. Oliveira, LMFT

  • Marriage & Family Therapist
  • Visalia, CA
National Provider Identifier
1427363100
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99739 Issued in CA
Practice address
711 N Court St
Visalia, CA 93291-3638
Phone
(559) 627-1490
NPI assigned
Aug 18, 2010
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 99739 CA Primary

Addresses

Primary practice location

711 N Court St
Visalia, CA 93291-3638

Mailing address

711 N Court St
Visalia, CA 93291-3638
Phone (559) 627-1490

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
I20240722003763 CA Practitioner - Marriage and Family Therapist 4587100912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99739CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcure, Inc CurrentSince Jul 1, 2023 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Jan 1, 2026 Accepting new patients
Achievements Unlimited Clinical Psychology Services, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Turning Point of Central California, Inc. Past Accepting new patients

Locations

106 Pollasky Ave
Ste D
Clovis, CA 93612
Phone (559) 203-3775

7575 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 203-3775

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

512 N Court St
Visalia, CA 93291
Phone (559) 203-3775

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1427363100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913638",
            "telephone_number": "559-627-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932913638",
            "telephone_number": "559-627-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "PENNY",
        "middle_name": "A.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.