Active NPI
Alexandria Nicole Olosunde, LMFT
- Marriage & Family Therapist
- Auburn, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 156114
- Practice address
- 11670 Atwood Rd
Auburn, CA 95603-9522 - Phone
- (530) 887-2800
- Fax
- (530) 887-2849
- NPI assigned
- Jul 3, 2018
- Last updated
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | F.2200255 | OH | |
| Marriage & Family Therapist | 106H00000X | 156114 | CA | Primary |
Addresses
Primary practice location
11670 Atwood Rd
Auburn, CA 95603-9522
Mailing address
11670 Atwood Rd
Auburn, CA 95603-9522
Phone (419) 705-0871
Other practice location 1
2267 Applewood Dr
Toledo, OH 43615-2907
Phone (419) 705-0871
Other practice location 2
780 E 185th St
Cleveland, OH 44119-2174
Phone (216) 681-9264
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11670 Atwood Rd
Auburn, CA 95603-9522
Phone (530) 887-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F.2200255 | OH | MD | Counselor |
| 156114 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapa-de Indian Health Program, Inc. | Current | Accepting new patients | |
| Cornerstone Behavioral Health LLC | Current | Accepting new patients | |
| Washington Wellness Institute, LLC | Current | Accepting new patients |
Locations
11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800
1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545
780 E 185th St
Cleveland, OH 44119
Phone (216) 302-4077
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHHIAD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Auburn, CA
- NPI 1114057163
-
- Mental Health Counselor
- Lakewood, OH
- NPI 1700407517
-
- Mental Health Counselor
- Cleveland, OH
- NPI 1871155176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1962998831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11670 ATWOOD RD",
"city": "AUBURN",
"state": "CA",
"postal_code": "956039522",
"telephone_number": "419-705-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11670 ATWOOD RD",
"city": "AUBURN",
"state": "CA",
"postal_code": "956039522",
"telephone_number": "530-887-2800",
"fax_number": "530-887-2849"
}
],
"practiceLocations": [
{
"address_1": "2267 Applewood Dr",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436152907",
"country_code": "US",
"telephone_number": "419-705-0871",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 E 185th St",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441192174",
"country_code": "US",
"telephone_number": "216-681-9264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLOSUNDE",
"first_name": "ALEXANDRIA",
"middle_name": "NICOLE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-03",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "F.2200255",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "156114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.