Active NPI
Lori Olson, IMH
- Mental Health Counselor
- Port Charlotte, FL
National Provider Identifier
1003230269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH 9229
- Practice address
- 3400 Tamiami TRL
Suite 204
Port Charlotte, FL 33952-8102 - Phone
- (941) 629-0440
- NPI assigned
- Feb 9, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH 9229 | FL | Primary |
Addresses
Primary practice location
3400 Tamiami TRL
Suite 204
Port Charlotte, FL 33952-8102
Mailing address
3400 Tamiami TRL
Suite 204
Port Charlotte, FL 33952-8102
Phone (941) 629-0440
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH 9229 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Wellness Counseling LLC | Past | Accepting new patients | |
| Alma Counseling Services | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Port Charlotte, FL
- NPI 1700323664
-
- Community/Behavioral Health Agency
- Port Charlotte, FL
- NPI 1902305881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391904000000",
"number": "1003230269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 TAMIAMI TRL",
"address_2": "SUITE 204",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528102",
"telephone_number": "941-629-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 TAMIAMI TRL",
"address_2": "SUITE 204",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528102",
"telephone_number": "941-629-0440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "LORI",
"credential": "IMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-09",
"last_updated": "2014-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH 9229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.