Individual provider Active NPI

Cindy Jo Olsen, M.S.

  • Professional Counselor
  • Wolcott, CT
National Provider Identifier
1417366238
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2581 Issued in CT
Practice address
11 Longmeadow Dr
Wolcott, CT 06716-2215
Phone
(203) 233-0568
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2581 CT Primary

Addresses

Primary practice location

11 Longmeadow Dr
Wolcott, CT 06716-2215

Mailing address

11 Longmeadow Dr
Wolcott, CT 06716-2215
Phone (203) 233-0568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821004673 CT Practitioner - Mental Health Counselor 1850839846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 Meriden Ave
Suite 1a
Southington, CT 06489-3227
Phone (203) 233-0568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2581CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
CJ'S Counseling, LLC Professional CurrentSince Jun 1, 2024 Accepting new patients

Locations

17 Meriden Ave
Ste 1A
Southington, CT 06489
Phone (203) 233-0568

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1417366238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LONGMEADOW DR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162215",
            "telephone_number": "203-233-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LONGMEADOW DR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162215",
            "telephone_number": "203-233-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "CINDY JO",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "2581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolcott, CT

Sources for this page

Verify at the official NPI Registry.