Jennifer Parker Olsen, MS, LPMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P115952 Issued in NY

Practice address

130 Allens Creek Rd Ste 240
Rochester, NY 14618-3305

Phone

(585) 206-2631

NPI assigned

Mar 6, 2024

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• 365 Mental Health Counseling PLLC

  • Mental Health Counselor
  • Lloyd Harbor, NY
  • NPI 1417787904
  Medicare reassignment NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1366209249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MEDALLION DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146263207",
            "telephone_number": "585-402-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ALLENS CREEK RD STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183305",
            "telephone_number": "585-206-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "JENNIFER",
        "middle_name": "PARKER",
        "name_prefix": "Ms.",
        "credential": "MS, LPMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P115952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Xavier Olscamp, PT, MPA, CP
• Brianna Olschewske
• Julie Anne Olschewski, RPH
• Alexandra Olsen
• Clinton Olsen, PA
• Robert Lee Olsen, MD
• Courtney Olson-Chen, M.D.
• David Richmond Olson, RPH
• Erik Olson, D.O.
• Kathryn A Olson, MS, OTR/L

• Mental Health Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.