Active NPI
Virginia L. Olson, MA, LMFT
- Marriage & Family Therapist
- Woodbury, MN
National Provider Identifier
1366761231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2016
- Practice address
- 1937 Woodlane Drive
Suite 209
Woodbury, MN 55125-4044 - Phone
- (651) 214-0010
- Fax
- (651) 739-9480
- NPI assigned
- May 18, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2016 | MN | Primary |
Addresses
Primary practice location
1937 Woodlane Drive
Suite 209
Woodbury, MN 55125-4044
Mailing address
1937 Woodlane Drive
Suite 209
Woodbury, MN 55125-4044
Phone (651) 214-0010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2733459 | Medicaid | MN |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016 | MN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1366761231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1937 WOODLANE DRIVE",
"address_2": "SUITE 209",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254044",
"telephone_number": "651-214-0010",
"fax_number": "651-739-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1937 WOODLANE DRIVE",
"address_2": "SUITE 209",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254044",
"telephone_number": "651-214-0010",
"fax_number": "651-739-9480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "VIRGINIA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2733459",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.