Individual provider Active NPI

Jasmine Olvera, LMFT

  • Marriage & Family Therapist
  • Modesto, CA
National Provider Identifier
1679057368
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
146988 Issued in CA
Practice address
1101 Standiford Ave Ste B5
Modesto, CA 95350-0981
Phone
(209) 200-8305
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 146988 CA Primary

Addresses

Primary practice location

1101 Standiford Ave Ste B5
Modesto, CA 95350-0981

Mailing address

1101 Standiford Ave Ste B5
Modesto, CA 95350-0981
Phone (209) 200-8305

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
I20240626002700 CA Practitioner - Marriage and Family Therapist 2769926153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Root to Rise, Marriage Family Therapy Marriage & Family Therapist Current Accepting new patients
An Elegant Sufficiency, a Psychological Corporation CurrentSince May 21, 2024 Accepting new patients

Locations

1101 Standiford Ave
Ste B5
Modesto, CA 95350
Phone (209) 200-8305

5250 Claremont Ave
Ste 118
Stockton, CA 95207
Phone (209) 200-8305

2431 W March Ln
Ste 200
Stockton, CA 95207
Phone (209) 200-8305

Organizations & group practices 2

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1679057368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE STE B5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500981",
            "telephone_number": "209-200-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STANDIFORD AVE STE B5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500981",
            "telephone_number": "209-200-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLVERA",
        "first_name": "JASMINE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "146988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.