Active NPI
Nancy Ann Olsen, LPC
- Mental Health Counselor
- Corvallis, OR
National Provider Identifier
1013394428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C2983
- Practice address
- 260 SW Madison Ave Ste 107
Corvallis, OR 97333-4728 - Phone
- (541) 908-6666
- NPI assigned
- May 5, 2015
- 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 | C2983 | OR | Primary |
Addresses
Primary practice location
260 SW Madison Ave Ste 107
Corvallis, OR 97333-4728
Mailing address
260 SW Madison Ave Ste 107
Corvallis, OR 97333-4728
Phone (541) 908-6666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241114001348 | OR | Practitioner - Mental Health Counselor | 0941734883 | Practice locations: Lebanon, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2983 | OR | MD | Mental Health Counselor |
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430784000000",
"number": "1013394428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 SW MADISON AVE STE 107",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334728",
"telephone_number": "541-908-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 SW MADISON AVE STE 107",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973334728",
"telephone_number": "541-908-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "NANCY",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-05",
"last_updated": "2015-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C2983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.