Heidi Olson, MA RESIDENT IN COUNS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704016987 Issued in VA

Practice address

300 12TH St Ofc 1
Lynchburg, VA 24504-4618

Phone

(434) 515-2041

NPI assigned

Jun 18, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Creekside Therapeutics

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1902593015
  NPD (past)

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1407699275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 S NC HIGHWAY 87",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272539475",
            "telephone_number": "256-630-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 12TH ST OFC 1",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245044618",
            "telephone_number": "434-515-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "HEIDI",
        "credential": "MA RESIDENT IN COUNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704016987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Carrington Oliver, LPC
• Madelyn Marie Oliveri, PA
• Savannah Olmstead
• John B. Olmsted III, M.D.
• Timothy R Olsen, PA-C, ATC
• Oluwasemilore Omoniyi
• Leslie Eseiwi Omoruyi, MD, MPH
• Michelle Charmayne Onafowokan
• One World Optical Business L.L.C.
• Deborah Opsal, ST

• Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.