ALEXANDRIA NICOLE OLOSUNDE LMFT
NPI 1962998831
Marriage & Family Therapist in Auburn, CA

Q: What is Alexandria Olosunde's NPI number?

The NPI number for Alexandria Olosunde is 1962998831. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Q: What is Alexandria Olosunde's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since July 03, 2018PECOS EnrolledAccepts Medicare Assignment

11670 ATWOOD RD, AUBURN, CA 95603(530) 887-2800(530) 887-2849 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Jul 3, 2018 (2 updates tracked since 2018).

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About Alexandria Nicole Olosunde Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRIA NICOLE OLOSUNDE LMFT (NPI 1962998831) is an individual marriage & family therapist in Auburn, California, licensed in California (156114) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962998831

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameALEXANDRIA NICOLE OLOSUNDECredential: LMFT

Location Address11670 ATWOOD RDAuburn, CA 95603-9522

Mailing Address11670 Atwood RdAuburn, CA 95603-9522 · (419) 705-0871

Phone(530) 887-2800

Fax(530) 887-2849

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 3, 2018

Last NPPES UpdateJuly 17, 20252 updates tracked since enumeration

NPPES CertifiedJuly 17, 2025

✔ NPI 1962998831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 156114

Definition

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.

Also ListedCounselorTaxonomy 101Y00000X · License F.2200255 (OH)

11670 ATWOOD RD, Auburn, CA 95603

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Secondary Practice Locations 2

Location 12267 Applewood DrToledo, OH 43615-2907 · Phone (419) 705-0871

Location 2780 E 185th StCleveland, OH 44119-2174 · Phone (216) 681-9264

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandria Nicole Olosunde Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264933639

PECOS Enrollment IDI20250827004954

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Alexandria Olosunde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chapa-De Indian Health Program, Inc.

Same address

Federally Qualified Health Center (FQHC)

11670 ATWOOD RD
Auburn, CA 95603

Reassigned Medicare billing, California enrollment
87 clinicians in this Medicare group

NPI 1114057163 (530) 887-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIM TWILLING

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