SHAUNDRA OLSON (NPI# 1962885616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962885616 |
| Entity Type | Individual |
| Full Name | SHAUNDRA OLSON |
| Credential | MFTI |
| Practice Address |
3120 Freeboard Dr Ste 102 West Sacramento CA 95691-5039 |
| Practice Telephone | 5303577975 |
| Practice Fax Number | 5303517976 |
| Mailing Telephone | 5303577975 |
| Mailing Fax Number | 5303517976 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2016-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF97035 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Street Address |
3120 FREEBOARD DR STE 102 |
| City | WEST SACRAMENTO |
| State | CA |
| Zip Code | 95691-5039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619010055 | Jana Kristine Cooper | Counselor | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2007-02-15 |
| 1497361885 | Saleshni Rita Prasad | Student in an Organized Health Care Education/Training Program | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2020-09-21 |
| 1780200600 | Jose Manuel Ramirez Garcia | Counselor | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2020-06-17 |
| 1154947075 | Melissa Yamileth Enamorado | Counselor | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2020-06-17 |
| 1376186239 | Christine Boesch | Counselor | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2019-10-23 |
| 1841852480 | Scott Andrew Weintraub | Counselor | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2019-07-03 |
| 1831750389 | Michael Mcpherson | Counselor | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2019-06-25 |
| 1962970152 | Stephen Dorian Grove | Counselor | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2018-11-06 |
| 1558838581 | Jacqueline Dinis | Student in an Organized Health Care Education/Training Program | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2018-10-29 |
| 1952890758 | Brianna Soares | Counselor | 3120 Freeboard Dr Ste 102, West Sacramento, CA 95691-5039 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298545 | Breanna Lenae Garcia | Registered Nurse | 980 Central Street, Apartment 312, West Sacramento, CA 95691 | 2019-07-26 |
| 1093192650 | Heliodoro Magana | Physician Assistant | 2901 Colleent Court, West Sacramento, CA 95691 | 2015-05-04 |
| 1699187823 | Eugene Louis | Pharmacist | 1601 1/2 West Capital Ave., West Sacramento, CA 95691 | 2014-05-22 |
| 1184874026 | Dental Corporation of Amardeep Gill Dds | Dentist | 2455 Jefferson Blvd, Suite 130, West Sacramento, CA 95691 | 2008-09-29 |
| 1487784328 | Sidney Bahr Freeman | Dentist | 820 Westacre Rd, West Sacramento, CA 95691 | 2007-03-07 |
| 1073671038 | Tari Leanne Tribble | Physician Assistant | 2101 Stone Blvd #190, West Sacramento, CA 95691 | 2006-12-04 |
| 1942375068 | Yuly Vilderman Dds A Dental Corporation | Dentist | 825 Harbor Blvd, West Sacramento, CA 95691 | 2006-11-22 |
| 1760569537 | Elizabeth Barber | Marriage & Family Therapist | 1250 Harbor Blvd #600, Telecare Yolo Strides, West Sacramento, CA 95691 | 2006-11-01 |
| 1831207059 | Norman Gary Larsen | Physical Therapist | 3680 Industrial Blvd, #550h Us Health Works Med Group, West Sacramento, CA 95691 | 2006-08-28 |
| 1093790305 | Nancy Warden | Pediatrics | 1276 Halyard Dr, West Sacramento, CA 95691 | 2005-12-08 |
| Find all providers in zip 95691 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376891721 | Jayna Marie Record | Marriage & Family Therapist | 500 Jefferson Blvd Ste 195, West Sacramento, CA 95605-2350 | 2012-08-16 |
| 1750663308 | Alexandra Gabrielle Garton | Marriage & Family Therapist | 500b Jefferson Blvd., Suite 195, West Sacramento, CA 95605 | 2011-09-09 |
| 1083842207 | Antonio Torres Alcocer Sr. | Marriage & Family Therapist | 2596 Coranado St, West Sacramento, CA 95691-4951 | 2009-06-25 |
| 1851534051 | Mandisa Gayneil Pittmon-stepter | Marriage & Family Therapist | 3960 Industrial Blvd Ste 200, West Sacramento, CA 95691-5024 | 2009-04-17 |
| 1164671616 | Lien Pham Xi | Marriage & Family Therapist | 500 Jefferson Blvd Ste B, West Sacramento, CA 95605 | 2008-09-09 |
| 1760603344 | Kristina Glynn | Marriage & Family Therapist | 500-b Jefferson Blvd., Ste 150, West Sacramento, CA 95605 | 2007-05-01 |
| 1760569537 | Elizabeth Barber | Marriage & Family Therapist | 1250 Harbor Blvd #600, Telecare Yolo Strides, West Sacramento, CA 95691 | 2006-11-01 |
| 1669572764 | David Nathan Hafter | Marriage & Family Therapist | 3050 Beacon Blvd Ste 103, West Sacramento, CA 95691-3467 | 2006-09-25 |
| 1376166520 | Silver Galadreil Podbielski | Marriage & Family Therapist | 2101 Stone Blvd Ste 175, West Sacramento, CA 95691-4055 | 2020-05-22 |
| 1649737016 | Maryjo Brooks Motl | Marriage & Family Therapist | 2101 Stone Blvd Ste 175, West Sacramento, CA 95691-4055 | 2019-02-21 |
| Find all providers in WEST SACRAMENTO | ||||
| City | WEST SACRAMENTO |
| Zip Code | 95691 |
Please comment or provide details below to improve the information on SHAUNDRA OLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.