Active NPI
Myriah Rae Gonzales-Oliva
- Marriage & Family Therapist
- Torrance, CA
National Provider Identifier
1558864017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT140178
- Practice address
- 23824 Hawthorne Blvd Ste 200
Torrance, CA 90505-5935 - Phone
- (310) 791-3064
- Fax
- (310) 791-3084
- NPI assigned
- Mar 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF95441 | CA | |
| Marriage & Family Therapist | 106H00000X | AMFT135672 | CA | |
| Marriage & Family Therapist | 106H00000X | AMFT95441 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | LMFT140178 | CA | Primary |
Addresses
Primary practice location
23824 Hawthorne Blvd Ste 200
Torrance, CA 90505-5935
Mailing address
6603 Adainville Dr
Palmdale, CA 93552-3527
Phone (661) 522-1185
Other practice location 1
2116 Arlington Ave Ste 100
Los Angeles, CA 90018-1353
Phone (323) 339-9000
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF95441 | CA | MD | Mental Health Counselor |
| AMFT135672 | CA | MD | Marriage & Family Therapist |
| AMFT95441 | CA | MD | Marriage & Family Therapist |
| LMFT140178 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleming & Barnes | Current | Accepting new patients |
Locations
23824 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 304-0532
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.
-
- Social Worker
- Torrance, CA
- NPI 1538037031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1558864017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6603 ADAINVILLE DR",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935523527",
"telephone_number": "661-522-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23824 HAWTHORNE BLVD STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055935",
"telephone_number": "310-791-3064",
"fax_number": "310-791-3084"
}
],
"practiceLocations": [
{
"address_1": "2116 Arlington Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900181353",
"country_code": "US",
"telephone_number": "323-339-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALES-OLIVA",
"first_name": "MYRIAH",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF95441",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT135672",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT95441",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT140178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.