Active NPI
Kathleen Estelle Ollivier
- Marriage & Family Therapist
- Irvine, CA
National Provider Identifier
1881984722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 33882
- Practice address
- 16269 Laguna Canyon Rd
Irvine, CA 92618-3603 - Phone
- (949) 788-9236
- NPI assigned
- Apr 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 33882 | CA | Primary |
Addresses
Primary practice location
16269 Laguna Canyon Rd
Irvine, CA 92618-3603
Mailing address
32094 Via Buena
San Juan Capistrano, CA 92675-3823
Phone (949) 240-8490
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 |
|---|---|---|---|
| MFC 33882 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1881984722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32094 VIA BUENA",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926753823",
"telephone_number": "949-240-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16269 LAGUNA CANYON RD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183603",
"telephone_number": "949-788-9236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLIVIER",
"first_name": "KATHLEEN",
"middle_name": "ESTELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-12",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 33882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.