Individual provider Active NPI

Natalia Olarte Staunton, LMFT AND PSY

  • Mental Health Counselor
  • South Pasadena, CA
National Provider Identifier
1891124426
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
96719 Issued in CA
Practice address
1910 Huntington Dr Unit 17
South Pasadena, CA 91030-4887
Phone
(626) 658-7610
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34268 CA
Rehabilitation Counselor 225C00000X 96719 CA
Mental Health Counselor 101YM0800X 96719 CA Primary

Addresses

Primary practice location

1910 Huntington Dr Unit 17
South Pasadena, CA 91030-4887

Mailing address

2321 Bonita Dr
Glendale, CA 91208-1914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
96719CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1891124426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 BONITA DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 HUNTINGTON DR UNIT 17",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304887",
            "telephone_number": "626-658-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUNTON",
        "first_name": "NATALIA",
        "middle_name": "OLARTE",
        "name_prefix": "Dr.",
        "credential": "LMFT AND PSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34268",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "CA",
            "license": "96719",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "96719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

Verify at the official NPI Registry.