Individual provider Active NPI

Michelle Sofia Olea

  • Marriage & Family Therapist
  • Laguna Hills, CA
National Provider Identifier
1962018085
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
142226 Issued in CA
Practice address
23461 S Pointe Dr Ste 100
Laguna Hills, CA 92653-1523
Phone
(949) 452-0888
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 92581 CA
Marriage & Family Therapist 106H00000X 142226 CA Primary

Addresses

Primary practice location

23461 S Pointe Dr Ste 100
Laguna Hills, CA 92653-1523

Mailing address

21445 Kirkwall LN
Lake Forest, CA 92630-8005
Phone (949) 510-9168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304004085 CA Practitioner - Marriage and Family Therapist 3577908268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shanti Orange CountyGroup PAC ID 9537475736, 16 clinicians

Practice addresses (Care Compare)

23461 S Pointe Dr
Suite 100
Laguna Hills, CA 92653-1523
Phone (949) 452-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92581CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shanti Orange County CurrentSince Feb 8, 2024 Accepting new patients

Locations

23461 S Pointe Dr
Ste 100
Laguna Hills, CA 92653
Phone (949) 452-0888

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1962018085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21445 KIRKWALL LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308005",
            "telephone_number": "949-510-9168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23461 S POINTE DR STE 100",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531523",
            "telephone_number": "949-452-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEA",
        "first_name": "MICHELLE",
        "middle_name": "SOFIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92581",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "142226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.