Active NPI
Jeff Olson, LPC
- Professional Counselor
- Lakeville, MN
National Provider Identifier
1356528491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 568
- Practice address
- 10591 165TH St W
Lakeville, MN 55044-3528 - Phone
- (952) 989-1133
- Fax
- (952) 435-6797
- NPI assigned
- Jan 30, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 568 | MN | Primary |
Addresses
Primary practice location
10591 165TH St W
Lakeville, MN 55044-3528
Mailing address
10591 165TH St W
Lakeville, MN 55044-3528
Phone (952) 989-1133
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 |
|---|---|---|---|
| LPC 568 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Therapy LLC | Past | Accepting new patients | |
| Life Development Resources, PA | Professional | Past | Accepting new patients |
Organizations & group practices 2
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
- Lakeville, MN
- NPI 1902953169
Professional
-
- Community/Behavioral Health Agency
- Lakeville, MN
- NPI 1649715400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1356528491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10591 165TH ST W",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550443528",
"telephone_number": "952-989-1133",
"fax_number": "952-435-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10591 165TH ST W",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550443528",
"telephone_number": "952-989-1133",
"fax_number": "952-435-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "JEFF",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "LPC 568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.