Individual provider Active NPI

Robert D Olson III, MS, LMHC

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1114022035
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00007529 Issued in WA
Practice address
1124 Stevens Dr
Richland, WA 99354-3360
Phone
(509) 946-1430
Fax
(509) 946-1432
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00007529 WA Primary

Addresses

Primary practice location

1124 Stevens Dr
Richland, WA 99354-3360

Mailing address

1124 Stevens Dr
Richland, WA 99354-3360
Phone (509) 946-1430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240115001840 WA Practitioner - Mental Health Counselor 3274914296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emmaus CenterGroup PAC ID 2961645064, 8 clinicians

Practice addresses (Care Compare)

1124 Stevens Dr
Richland, WA 99354-3360
Phone (509) 946-1430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH00007529WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Emmaus Center Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1124 Stevens Dr
Richland, WA 99354
Phone (509) 876-4009

Organizations & group practices 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1114022035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543360",
            "telephone_number": "509-946-1430",
            "fax_number": "509-946-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543360",
            "telephone_number": "509-946-1430",
            "fax_number": "509-946-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_suffix": "III",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00007529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.