Active NPI
Ole Von Frausing-Borch, LMFT
- Marriage & Family Therapist
- Santa Maria, CA
National Provider Identifier
1962689539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 8963
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Interventions | Marriage & Family Therapist | Past | 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.
-
- Marriage & Family Therapist
- Santa Maria, CA
- NPI 1245772425
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.