Individual provider Active NPI

Rachael Olson

  • Counselor
  • Bellevue, NE
National Provider Identifier
1063137750
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
13180 Issued in NE
Practice address
1314 Galvin Rd S
Bellevue, NE 68005-3064
Phone
(720) 341-4162
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 13180 NE Primary

Addresses

Primary practice location

1314 Galvin Rd S
Bellevue, NE 68005-3064

Mailing address

1504 Madison St
Bellevue, NE 68005-3351

Other practice location 1

1504 Madison St
Bellevue, NE 68005-3351
Phone (720) 341-4162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20250429000143 NE Practitioner - Mental Health Counselor 4789100223 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rachael Olson Therapy LLC CurrentSince Apr 4, 2025 Accepting new patients
Bellevue Primary Healthcare PC CurrentSince Mar 1, 2025 Accepting new patients
Eon Care Clinicians PC CurrentSince Jan 4, 2026 Accepting new patients

Locations

1314 Galvin Rd S
Bellevue, NE 68005
Phone (720) 341-4162

1320 Galvin Rd S
Bellevue, NE 68005
Phone (402) 603-0839

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11675/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1063137750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 MADISON ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 GALVIN RD S",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053064",
            "telephone_number": "720-341-4162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Madison St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "680053351",
            "country_code": "US",
            "telephone_number": "720-341-4162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "RACHAEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "13180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.