Active NPI
Olivia Rodriguez, MA, LMFT
- Marriage & Family Therapist
- Ventura, CA
National Provider Identifier
1437669702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100696
- Practice address
- 3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250 - Phone
- (805) 642-4611
- NPI assigned
- Oct 2, 2017
- 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 | 100696 | CA | Primary |
Addresses
Primary practice location
3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250
Mailing address
3160 Telegraph Rd Ste 200
Ventura, CA 93003-3250
Phone (818) 403-7662
Other practice location 1
152 S Lasky Dr Ste 208
Beverly Hills, CA 90212-1716
Phone (818) 403-7662
Other practice location 2
6340 Variel Ave
Woodland Hills, CA 91367-2514
Phone (818) 403-7662
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 |
|---|---|---|---|
| 100696 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beachside Adult and Family Therapy Inc | Marriage & Family Therapist | Current | Accepting new patients |
Locations
3160 Telegraph Rd
Ste 200
Ventura, CA 93003
Phone (805) 620-0346
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Ventura, CA
- NPI 1992018469
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1437669702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 TELEGRAPH RD STE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033250",
"telephone_number": "818-403-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 TELEGRAPH RD STE 200",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033250",
"telephone_number": "805-642-4611"
}
],
"practiceLocations": [
{
"address_1": "152 S Lasky Dr Ste 208",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902121716",
"country_code": "US",
"telephone_number": "818-403-7662",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6340 Variel Ave",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913672514",
"country_code": "US",
"telephone_number": "818-403-7662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "OLIVIA",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.