Matthew E Olson, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3785 Issued in MN

Practice address

4601 Excelsior Blvd Ste 335
St Louis Park, MN 55416-5228

Phone

(612) 568-7819

NPI assigned

Mar 9, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allina Health System 3,844 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allina Health System

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342

  MN

  Medicare reassignment NPD
• Allina Health System

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249

  MN

  Medicare reassignment NPD
• Allina Health System

  • Infectious Disease Physician
  • Minneapolis, MN
  • NPI 1497054415
  NPD
• Allina Health System

  • Family Medicine Physician
  • Fridley, MN
  • NPI 1912203365
  NPD
• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• Relate Inc

  • Community/Behavioral Health Agency
  • Minnetonka, MN
  • NPI 1053486902
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676764800000",
    "number": "1013475995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD STE 335",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165228",
            "telephone_number": "612-568-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD STE 335",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165228",
            "telephone_number": "612-568-7819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5125 County Road 101, Suite 300",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "55345",
            "country_code": "US",
            "telephone_number": "952-932-7277",
            "fax_number": "952-932-9827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-09",
        "last_updated": "2023-02-19",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Ellen Olson
• Kaylie Olson
• Kendra Lyn Olson, MS, LADC, LPCC
• Kendra M Olson, LICSW
• Kierstin Leigh Olson, L.AC, MSOM, BS
• Nicole Olson
• Paige Olson, LGSW
• Paul Olson
• Rebekkah Olson, MSW, LICSW
• Sophia Olson, DPT

• All providers in St Louis Park, MN
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.