Active NPI
Morgan Olivia Olson
- Addiction (Substance Use Disorder) Counselor
- Matthews, NC
National Provider Identifier
1194559005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-21865
- Practice address
- 1118 Sam Newell Rd Ste D4
Matthews, NC 28105-5162 - Phone
- (248) 396-8810
- NPI assigned
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-21865 | NC | Primary |
Addresses
Primary practice location
1118 Sam Newell Rd Ste D4
Matthews, NC 28105-5162
Mailing address
807 Clearbrook Rd
Matthews, NC 28105-9611
Phone (704) 975-3969
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 |
|---|---|---|---|
| LCAS-21865 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Movements, PLLC | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Matthews, NC
- NPI 1205392099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1194559005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 CLEARBROOK RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281059611",
"telephone_number": "704-975-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 SAM NEWELL RD STE D4",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281055162",
"telephone_number": "248-396-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MORGAN",
"middle_name": "OLIVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-21865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.