Tammy Ann Olson, M.A., QMHP,QMRP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1122 Healthcare Dr
Mount Carroll, IL 61053-1461

Phone

(815) 244-1376

Fax

(815) 244-3074

NPI assigned

Aug 14, 2008

Last updated

Aug 14, 2008By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Carroll, IL
  • NPI 1366739781
  NPD (past)
• Sinnissippi Centers, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mount Carroll, IL
  • NPI 1871042937
  NPD (past)

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1154577757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N WASHINGTON ST",
            "address_2": "P.O. BOX 74",
            "city": "ELIZABETH",
            "state": "IL",
            "postal_code": "610289330",
            "telephone_number": "815-988-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 HEALTHCARE DR",
            "city": "MOUNT CARROLL",
            "state": "IL",
            "postal_code": "610531461",
            "telephone_number": "815-244-1376",
            "fax_number": "815-244-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TAMMY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A., QMHP,QMRP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Kay Marshall
• Paula Kay Maxwell, OTR/L
• Jody L McWhorter
• Jennifer Miller, RN
• Mount Carroll Fire Protection District
• Desirae Patrick
• Pharmacy Center Inc.
• Katelyn Renee Phillips
• Michelle L Polizzi
• Melisa M Pope-Reedy, PTA

• Mental Health Counselor in Mount Carroll, IL
• Providers in Mount Carroll, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.