Individual provider Active NPI

Katherine L. Nydam Olivier, LMSW

  • Mental Health Counselor
  • Iowa City, IA
National Provider Identifier
1366692170
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006847 Issued in IA
Practice address
507 E College St
Iowa City, IA 52240-5115
Phone
(319) 338-7884
Fax
(319) 338-7006
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 006847 IA Primary

Addresses

Primary practice location

507 E College St
Iowa City, IA 52240-5115

Mailing address

507 E College St
Iowa City, IA 52240-5115
Phone (319) 338-7884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20131213000897 IA Practitioner - Clinical Social Worker 0446380950 Reassigns benefits to 1 organization
Practice locations: Iowa City, IA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

757 W Benton St
Iowa City, IA 52246-5953
Phone (319) 339-4757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006847IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine L. Nydam Olivier, Lisw LLC CurrentSince Feb 28, 2026 Accepting new patients
Katherine L. Nydam Olivier, Lisw LLC Current Accepting new patients
Abbe Center for Community Mental Health, Inc PastSince Feb 20, 2010 Accepting new patients

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1366692170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E COLLEGE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522405115",
            "telephone_number": "319-338-7884",
            "fax_number": "319-338-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E COLLEGE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522405115",
            "telephone_number": "319-338-7884",
            "fax_number": "319-338-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYDAM OLIVIER",
        "first_name": "KATHERINE",
        "middle_name": "L.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "006847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.