Individual provider Active NPI

Olga Lydia Amador, LMFT

  • Marriage & Family Therapist
  • Covina, CA
National Provider Identifier
1851741136
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114497 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
IMF101126CAMDMental Health Counselor
114497CAMDMarriage & 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.

Verify at the official NPI Registry.