Robert Olsen, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60174444 Issued in WA

Practice address

4901 Center St
Tacoma, WA 98409-2363

Phone

(253) 355-6619

NPI assigned

Jan 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marriage and Family Life LLC

  • Mental Health Counselor
  • Tacoma, WA
  • NPI 1457622797
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1235890880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 WILLOW LN W",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984663631",
            "telephone_number": "253-355-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 CENTER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092363",
            "telephone_number": "253-355-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ROBERT",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH60174444",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60174444",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LH60174444",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60174444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@success4couples.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4901 Center St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984092363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dearl P Olsen, DDS
• Kimberly Yuka Olsen, DNP, ARNP, AGACNP-BC
• Lisa Jane Olsen, MD
• Lynn Ann Olsen, MD
• Richelle Olsen, MD
• Ryder C Olsen, D.O
• Savannah Grace Olsen, DPT
• Sherri A Olsen, OT
• Trina Lynn Olsen, COTA/L
• Marcia Lynn Olson-Elvins

• Mental Health Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.