NPIMap

Individual provider Active NPI

Andrea Hope Olsen, CADC-I

  • Addiction (Substance Use Disorder) Counselor
  • Bend, OR
National Provider Identifier
1265097604
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
500654390 Issued in OR
Practice address
23 NW Greenwood Ave
Bend, OR 97703-2078
Phone
(541) 383-4293
Fax
(541) 383-4935
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 500654390 OR Primary

Addresses

Primary practice location

23 NW Greenwood Ave
Bend, OR 97703-2078

Mailing address

23 NW Greenwood Ave
Bend, OR 97703-2078
Phone (541) 383-4293

Other identifiers 1

IdentifierTypeStateIssuer
500654390MedicaidOR

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address andrea@choicerecovery.org
Direct Messaging Address AndreaO@oregontreatment.net

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
500654390ORMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Treatment Center PastSince Apr 20, 2021 Accepting new patients
Choices Recovery Services, LLC Addiction (Substance Use Disorder) PastSince Jul 12, 2020 Accepting new patients
Pfeifer & Associates PastSince Apr 20, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andreao@oregontreatment.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1265097604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NW GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032078",
            "telephone_number": "541-383-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NW GREENWOOD AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032078",
            "telephone_number": "541-383-4293",
            "fax_number": "541-383-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "ANDREA",
        "middle_name": "HOPE",
        "credential": "CADC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2021-04-13",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "500654390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500654390",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea@choicerecovery.org",
            "affiliation": "N",
            "address_1": "357 NE Court St",
            "city": "Prineville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977541936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AndreaO@oregontreatment.net",
            "affiliation": "N",
            "address_1": "23 NW Greenwood Ave",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977032078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.