Molly Olson, BA

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1265 E Poplar St
Pocatello, ID 83201-3830

Phone

(208) 233-8309

NPI assigned

Jun 6, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1407015175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4941",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054941",
            "telephone_number": "208-233-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E POPLAR ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013830",
            "telephone_number": "208-233-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "MOLLY",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8069741",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Kerise Olsen, NP-C
• Lynn David Olsen
• Matthew B Olsen, LCSW
• Misty Danielle Olsen, LPC
• Kerry Olson
• Olympus Family Dental
• Olympus Family Wellness Center, P.C.
• Grace Osa Onaiwu, PHARMD
• Optimum Health, PLLC
• Optisound Hearing Inc

• Community/Behavioral Health Agency in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.