Olive Branch Counseling Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

OLIVE BRANCH COUNSELING CENTER

Practice address

9033 Baseline Rd Ste a
Rancho Cucamonga, CA 91730-1214

Phone

(909) 989-9030

Fax

(909) 989-9030

NPI assigned

Jun 28, 2017

Organization subpart

No

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

Authorized official

Name

Norma Combs

Title

Medical Biller

Phone

(909) 989-9030

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1841711033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 BASELINE RD STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301214",
            "telephone_number": "909-989-9030",
            "fax_number": "909-466-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 BASELINE RD STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301214",
            "telephone_number": "909-989-9030",
            "fax_number": "909-989-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "909-989-9030"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernanda Lizeth Olaiz Flores
• Jessica Olano
• Alexis Love Olascoaga
• Airam Olivas
• Katrina Olivas
• Olive Branch Diagnostic Imaging, Inc
• Lucianno Oliveira Medeiros
• Jasina Christine Oliver
• Joanne Olivo
• Ashley Gail Olson

• Marriage & Family Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.