Active NPI
Nancy Jean Olsen, M.S.
- Professional Counselor
- Saint Paul, MN
National Provider Identifier
1073835047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1599
- Practice address
- 821 Raymond Ave Ste 240
Saint Paul, MN 55114-1525 - Phone
- (612) 749-2405
- NPI assigned
- Feb 18, 2010
- Last updated
- Jun 17, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4339-125 | WI | |
| Professional Counselor | 101YP2500X | 1599 | MN | Primary |
Addresses
Primary practice location
821 Raymond Ave Ste 240
Saint Paul, MN 55114-1525
Mailing address
821 Raymond Ave Ste 240
Saint Paul, MN 55114-1525
Phone (612) 749-2405
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4339-125 | WI | MD | Professional Counselor |
| 1599 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1073835047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 RAYMOND AVE STE 240",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141525",
"telephone_number": "612-749-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 RAYMOND AVE STE 240",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141525",
"telephone_number": "612-749-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "NANCY",
"middle_name": "JEAN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-18",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4339-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "1599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.