Active NPI
Alice Ann Olson
- Mental Health Counselor
- Viroqua, WI
National Provider Identifier
1376728634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6458-120
- Practice address
- 1321 N Main St
Viroqua, WI 54665-1156 - Phone
- (608) 637-7052
- Fax
- (608) 637-8500
- NPI assigned
- Jan 7, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6458-120 | WI | Primary |
Addresses
Primary practice location
1321 N Main St
Viroqua, WI 54665-1156
Mailing address
66 E 3Rd St
201
Winona, MN 55987-3478
Phone (507) 452-7292
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 |
|---|---|---|---|
| 6458-120 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of Winona | Past | Accepting new patients | |
| Family & Children'S Center, Inc. | 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.
-
- Mental Illness Community Based Residential Treatment Facility
- Winona, MN
- NPI 1306169370
-
- Psychologist
- Winona, MN
- NPI 1710986989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1376728634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 E 3RD ST",
"address_2": "201",
"city": "WINONA",
"state": "MN",
"postal_code": "559873478",
"telephone_number": "507-452-7292",
"fax_number": "507-457-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 N MAIN ST",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546651156",
"telephone_number": "608-637-7052",
"fax_number": "608-637-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ALICE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "6458-120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.