Olivia Grace Fleming Prinz

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

137290 Issued in CA

Practice address

1380 Lead Hill Blvd Ste 160
Roseville, CA 95661-2998

Phone

(916) 740-6424

NPI assigned

Jun 23, 2021

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Davis Group Counseling and Wellness Services

  • Mental Health Counselor
  • Roseville, CA
  • NPI 1255091286
  NPD
• Saint John's Program for Real Change

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1467823674
  NPD (past)
• Stonebridge Counseling Inc

  • Marriage & Family Therapist
  • Chico, CA
  • NPI 1487316782
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1851960868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD STE 160",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612998",
            "telephone_number": "916-740-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD STE 160",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612998",
            "telephone_number": "916-740-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINZ",
        "first_name": "OLIVIA",
        "middle_name": "GRACE FLEMING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "137290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "137290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pride Industries One, Inc.
• Oleg Pridyuk, CRT / RRT
• Roman Pridyuk, RCP
• Kindra M Pring, BCBA
• David George Pringle, P.T.
• Private Healthcare Facilities
• Private Healthcare Facilities
• Solomia Pro
• Jeanne C Probasco, LCSW
• Professional Diagnostics Management

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, 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 Feb 9, 2023; 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.