Individual provider Active NPI

Melinda Reider Olsen, LMFT

  • Marriage & Family Therapist
  • Saratoga, CA
National Provider Identifier
1649921800
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111165 Issued in CA
Practice address
14639 Big Basin Way Ste C
Saratoga, CA 95070-6081
Phone
(323) 947-3602
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 111165 CA Primary

Addresses

Primary practice location

14639 Big Basin Way Ste C
Saratoga, CA 95070-6081

Mailing address

14639 Big Basin Way Ste C
Saratoga, CA 95070-6081
Phone (323) 947-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111165CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inviterra Counseling Family, Inc CurrentSince Feb 4, 2024 Accepting new patients

Locations

987 University Ave
Ste 22
Los Gatos, CA 95032
Phone (408) 418-8285

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.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1649921800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14639 BIG BASIN WAY STE C",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706081",
            "telephone_number": "323-947-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14639 BIG BASIN WAY STE C",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706081",
            "telephone_number": "323-947-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MELINDA",
        "middle_name": "REIDER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.