Koral J Olson, MS, LPC, NCC, CBIS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC7336 Issued in SD

Practice address

625 1/2 Main St Ste 1
Rapid City, SD 57701-2758

Phone

(605) 863-2498

NPI assigned

Aug 2, 2010

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Haven Counseling LLC

  • Mental Health Counselor
  • Rapid City, SD
  • NPI 1497239222
  NPD Authorized official

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1457665408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 LAWNDALE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024211",
            "telephone_number": "605-641-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 1/2 MAIN ST STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012758",
            "telephone_number": "605-863-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KORAL",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC, NCC, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SD",
            "license": "LPC7336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra S Olson, PHARMD
• Bryan James Olson, DPT
• Corbin James Olson, PT, DPT
• Jeffrey G Olson, D.D.S.
• Kelsey Olson
• Larry James Olson, M.A.,CCC-A
• Magdalena A Olson
• Steven Joseph Olson, RN
• Jessica Olstad
• Judy Olstad, SLP

• Professional Counselor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Professional Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.