Elizabeth Ann Olson, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301007036 Issued in MI

Practice address

710 N Mead St
Saint Johns, MI 48879-1332

Phone

(989) 224-4110

Fax

(989) 224-8797

NPI assigned

Sep 27, 2006

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pebble Creek Counseling LLCGroup PAC ID 8325100829, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Pebble Creek Counseling LLC

  • Psychologist
  • Saint Johns, MI
  • NPI 1609095702
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1245321884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N MEAD ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791332",
            "telephone_number": "989-224-4110",
            "fax_number": "989-224-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N MEAD ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488791332",
            "telephone_number": "989-224-4110",
            "fax_number": "989-224-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin R Mosley, LLPC
• Rebecca Sue Noffke, LLMSW
• North Wilton Health PLLC
• Novus Michigan Professional Corporation
• Nursepro Nursing Services
• Matthew Olson, LPC
• Ona R Erdt, DMD, PLLC
• Outpatient Urgent Care Healthcenter
• Robin Padilla
• Leslie A Patrick, RPH

• Psychologist in Saint Johns, MI
• Providers in Saint Johns, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.