Individual provider Active NPI

Mary Olen

  • Professional Counselor
  • Midland, MI
National Provider Identifier
1437928199
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451023415 Issued in MI
Practice address
2603 W Wackerly St
Midland, MI 48640-6903
Phone
(989) 430-2982
NPI assigned
Dec 21, 2023
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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 6451023415 MI Primary

Addresses

Primary practice location

2603 W Wackerly St
Midland, MI 48640-6903

Mailing address

2603 W Wackerly St
Midland, MI 48640-6903
Phone (989) 430-2982

Other practice location 1

3155 Logan Valley Rd
Traverse City, MI 49684-4772
Phone (989) 954-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260112000251 MI Practitioner - Mental Health Counselor 6709362544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1409 N Dr
Mount Pleasant, MI 48858-3230

2603 W Wackerly St
Suite 2
Midland, MI 48640-6903

418 W Frank St
Caro, MI 48723-1408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6451023415MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mitch PC Professional CurrentSince Jan 23, 2026 Accepting new patients
J&a Counseling and Evaluations Inc. Professional CurrentSince Jan 8, 2026 Accepting new patients

Locations

2603 W Wackerly St
Ste 100
Midland, MI 48640
Phone (989) 506-6967

1001 Fairfield Dr
Mt Pleasant, MI 48858
Phone (989) 954-4673

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, 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": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1437928199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406903",
            "telephone_number": "989-430-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406903",
            "telephone_number": "989-430-2982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 Logan Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496844772",
            "country_code": "US",
            "telephone_number": "989-954-4673",
            "fax_number": "989-546-8547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLEN",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451023415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.