MEDICARE: OLIVIA DONNINI LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	15408	CA
2	106H00000X	Marriage & Family Therapist	143430	CA

General Provider Information

NPI Number	:	1679201537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA DONNINI LMFT

Provider Business Mailing Address
First Line	:	PO BOX 30242
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94604-6342
Country	:	US
Telephone Number	:	415-580-2012
Fax Number	:

Provider Business Practice Location Address
First Line	:	1924 UNION ST STE 2
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94607-2326
Country	:	US
Telephone Number	:	415-580-2012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2022
Last Update Date	:	03/13/2026

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Directions to “ OLIVIA DONNINI LMFT” Practice Location

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