Individual provider Active NPI

Mikki Marie Olsson, LPC

  • Mental Health Counselor
  • Mansfield, LA
National Provider Identifier
1144994146
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5133 Issued in LA
Practice address
130 Jefferson St
Mansfield, LA 71052-2602
Phone
(318) 872-2700
Fax
(318) 872-6214
NPI assigned
Aug 3, 2021
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5133 LA Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

130 Jefferson St
Mansfield, LA 71052-2602

Mailing address

PO Box 1636
Mansfield, LA 71052-1636
Phone (318) 270-3265

Other practice location 1

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 270-3265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240404002607 LA Practitioner - Mental Health Counselor 2062850407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desoto Hospital AssociationGroup PAC ID 2163321829, 35 clinicians

Practice addresses (Care Compare)

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 871-3109

207 Jeffersont
Mansfield, LA 71052

PO Box
Mansfield, LA 71052-1636

PO Box
Suite 1636
Mansfield, LA 71052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Hospital Association CurrentSince Jan 1, 2024 Accepting new patients
Desoto Hospital Association Current Accepting new patients
Desoto Hospital Association CurrentSince Jan 1, 2024 Accepting new patients

Locations

130 Jefferson St
Mansfield, LA 71052
Phone (318) 872-2700

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

Interoperability endpoints

  • Direct secure messaging: mikki.olsson@drfmc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1144994146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1636",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710521636",
            "telephone_number": "318-270-3265",
            "fax_number": "318-270-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522602",
            "telephone_number": "318-872-2700",
            "fax_number": "318-872-6214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "LA",
            "postal_code": "710522603",
            "country_code": "US",
            "telephone_number": "318-270-3265",
            "fax_number": "318-270-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSSON",
        "first_name": "MIKKI",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "5133",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, LA

Sources for this page

Verify at the official NPI Registry.