Individual provider Active NPI

Ole Von Frausing-Borch, LMFT

  • Marriage & Family Therapist
  • Santa Maria, CA
National Provider Identifier
1962689539
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
8963 Issued in CA
Practice address
301 S Miller St Ste 121
Santa Maria, CA 93454-5243
Phone
(805) 925-5470
Fax
(805) 922-3263
NPI assigned
Jan 26, 2008
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 8963 CA Primary

Addresses

Primary practice location

301 S Miller St Ste 121
Santa Maria, CA 93454-5243

Mailing address

PO Box 6574
Santa Maria, CA 93456-6574
Phone (805) 925-5470

Other practice location 1

1129 Marsh St
San Luis Obispo, CA 93401-3323
Phone (805) 202-9335

Other practice location 2

6639 Bay Laurel Pl
Auite A
Avila Beach, CA 93424
Phone (805) 925-5470

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Interventions Marriage & Family Therapist PastSince Jul 24, 2022 Accepting new patients

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": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962689539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6574",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934566574",
            "telephone_number": "805-925-5470",
            "fax_number": "805-922-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MILLER ST STE 121",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545243",
            "telephone_number": "805-925-5470",
            "fax_number": "805-922-3263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1129 Marsh St",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934013323",
            "country_code": "US",
            "telephone_number": "805-202-9335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6639 Bay Laurel Pl",
            "address_2": "Auite A",
            "address_purpose": "LOCATION",
            "city": "Avila Beach",
            "state": "CA",
            "postal_code": "93424",
            "country_code": "US",
            "telephone_number": "805-925-5470",
            "fax_number": "805-922-3263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VON FRAUSING-BORCH",
        "first_name": "OLE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "8963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, 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.