Elaine Marie Ovaldson, MA, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC00119 Issued in MN

Practice address

8441 Wayzata Blvd
Suite 120
Golden Valley, MN 55426-1344

Phone

(763) 566-0088

Fax

(763) 566-0089

NPI assigned

Apr 5, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Christian Recovery Center

  • Psychologist
  • Golden Valley, MN
  • NPI 1003879164
  NPD (past)

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1265757124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD",
            "address_2": "SUITE 120",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261344",
            "telephone_number": "763-566-0088",
            "fax_number": "763-566-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD",
            "address_2": "SUITE 120",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261344",
            "telephone_number": "763-566-0088",
            "fax_number": "763-566-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVALDSON",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debora Ann Ostlund, PTA
• Matthew James Ostrander, MD
• Charles S Ostrov, MD
• Robert David Ostrow, MD
• Omolola Chantelle Osunkoya, MA, LPCC
• William Willard Pace, PH.D., L.P.
• Ruth Paley, MA
• Anthony Richard Palmer, DPT
• Alexandra Pantelis
• Makayla Pappas, LMFT

• All providers in Golden Valley, MN
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.