Individual provider Active NPI

Christen Olson, LSW

  • Case Manager/Care Coordinator
  • Devils Lake, ND
National Provider Identifier
1417344995
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
4592 Issued in ND
Practice address
524 4TH Ave NE
Unit 19
Devils Lake, ND 58301-2490
Phone
(701) 662-7050
Fax
(701) 662-3360
NPI assigned
Apr 22, 2015
Last updated
Apr 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4592 ND
Case Manager/Care Coordinator 171M00000X 4592 ND Primary

Addresses

Primary practice location

524 4TH Ave NE
Unit 19
Devils Lake, ND 58301-2490

Mailing address

524 4TH Ave NE
Unit 19
Devils Lake, ND 58301-2490
Phone (701) 662-7050

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

LicenseStateTypeSpecialty
4592NDMDPsychiatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ramsey Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1417344995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 4TH AVE NE",
            "address_2": "UNIT 19",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012490",
            "telephone_number": "701-662-7050",
            "fax_number": "701-662-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 4TH AVE NE",
            "address_2": "UNIT 19",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012490",
            "telephone_number": "701-662-7050",
            "fax_number": "701-662-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "CHRISTEN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "4592",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ND",
            "license": "4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.