Active NPI
Lauren K Olsen, LCADC
- Addiction (Substance Use Disorder) Counselor
- Staten Island, NY
National Provider Identifier
1174788335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00251400
- Practice address
- 151 Main St
Staten Island, NY 10307-1226 - Phone
- (609) 819-5360
- NPI assigned
- Jul 26, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Peer Specialist | 175T00000X | 37LC00251400 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00251400 | NJ | Primary |
Addresses
Primary practice location
151 Main St
Staten Island, NY 10307-1226
Mailing address
1603 Cammar Dr
Wall Township, NJ 07719-4703
Phone (609) 819-5360
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.rwjbh.org/treatment-care/institute-for-prevention-and-recovery/ | Other | |
| Other URL | www.lhl-usa.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00251400 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1174788335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 CAMMAR DR",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077194703",
"telephone_number": "609-819-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 MAIN ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103071226",
"telephone_number": "609-819-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "LAUREN",
"middle_name": "K",
"credential": "LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NJ",
"license": "37LC00251400",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00251400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.rwjbh.org/treatment-care/institute-for-prevention-and-recovery/",
"affiliation": "N",
"endpointDescription": "The RWJBarnabas Health Institute for Prevention and Recovery (IFPR) isa leader in New Jersey for substance use disorder focused prevention andrecovery support services.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "website",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "442 NJ - 35",
"address_2": "Building A, 3rd Floor",
"city": "Eatontown",
"state": "NJ",
"country_code": "US",
"postal_code": "07724",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.lhl-usa.com",
"affiliation": "N",
"endpointDescription": "Labor Helping Labor, providing peer recovery support to union members.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "151 Main St",
"city": "Staten Island",
"state": "NY",
"country_code": "US",
"postal_code": "103071226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.