Active NPI
Olga Lydia Amador, LMFT
- Marriage & Family Therapist
- Covina, CA
National Provider Identifier
1851741136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 114497
- Practice address
- 1338 Center Court Dr Ste 105
Covina, CA 91724-3681 - Phone
- (909) 276-7592
- Fax
- (909) 755-0024
- NPI assigned
- Jun 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF101126 | CA | |
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 114497 | CA | Primary |
Addresses
Primary practice location
1338 Center Court Dr Ste 105
Covina, CA 91724-3681
Mailing address
1973 Evergreen St
La Verne, CA 91750-3537
Phone (909) 276-7592
Other practice location 1
790 E Bonita Ave
Pomona, CA 91767-1906
Phone (909) 625-7207
Other practice location 2
1973 Evergreen St
LA Verne, CA 91750-3537
Phone (909) 276-7592
Other practice location 3
820 N Mountain Ave
Upland, CA 91786-4111
Phone (909) 276-7592
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 |
|---|---|---|---|
| IMF101126 | CA | MD | Mental Health Counselor |
| 114497 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851741136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1973 EVERGREEN ST",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503537",
"telephone_number": "909-276-7592",
"fax_number": "909-755-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 CENTER COURT DR STE 105",
"city": "COVINA",
"state": "CA",
"postal_code": "917243681",
"telephone_number": "909-276-7592",
"fax_number": "909-755-0024"
}
],
"practiceLocations": [
{
"address_1": "790 E Bonita Ave",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917671906",
"country_code": "US",
"telephone_number": "909-625-7207",
"fax_number": "909-626-1524",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1973 Evergreen St",
"address_purpose": "LOCATION",
"city": "LA Verne",
"state": "CA",
"postal_code": "917503537",
"country_code": "US",
"telephone_number": "909-276-7592",
"fax_number": "909-755-0024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 N Mountain Ave",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917864111",
"country_code": "US",
"telephone_number": "909-276-7592",
"fax_number": "909-626-1524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMADOR",
"first_name": "OLGA",
"middle_name": "LYDIA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-16",
"last_updated": "2022-07-21",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF101126",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "114497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.