Organization Active NPI

Olive Branch Family Therapy

  • Marriage & Family Therapist
  • Coalinga, CA
National Provider Identifier
1548913627
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
OLIVE BRANCH FAMILY THERAPY
Practice address
194 E Elm Ave Ste 101
Coalinga, CA 93210-2800
Phone
(559) 362-8585
NPI assigned
Jan 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Karen L Nelson, LMFTNPI 1245594555
Title
Ceo
Phone
(559) 362-2885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

194 E Elm Ave Ste 101
Coalinga, CA 93210-2800

Mailing address

194 E Elm Ave Ste 101
Coalinga, CA 93210-2800

National Provider Directory

National Provider Directory

Locations

194 E Elm Ave
Ste 101
Coalinga, CA 93210
Phone (559) 362-8585

193 Washington St
Coalinga, CA 93210
Phone (559) 404-9654

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1548913627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 E ELM AVE STE 101",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932102800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E ELM AVE STE 101",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932102800",
            "telephone_number": "559-362-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-30",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-362-2885",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coalinga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.