Individual provider Active NPI

Lauren K Olsen, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Staten Island, NY
National Provider Identifier
1174788335
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00251400 Issued in NJ
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

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
37LC00251400NJMDAddiction (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.

Verify at the official NPI Registry.