Amy Olsen, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-5042 Issued in ID

Practice address

849 E Fairview Ave
Meridian, ID 83642-1806

Phone

(208) 957-7900

Fax

(208) 939-9009

NPI assigned

Oct 9, 2009

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1457686362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E FAIRVIEW AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421806",
            "telephone_number": "208-957-7900",
            "fax_number": "208-939-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E FAIRVIEW AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421806",
            "telephone_number": "208-957-7900",
            "fax_number": "208-939-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 W. Main Street",
            "address_2": "Downstairs",
            "address_purpose": "LOCATION",
            "city": "Kuna",
            "state": "ID",
            "postal_code": "83634",
            "country_code": "US",
            "telephone_number": "208-922-9001",
            "fax_number": "208-922-3778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 W Cherry Ln",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836421610",
            "country_code": "US",
            "telephone_number": "208-887-1911 x109",
            "fax_number": "208-895-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-5042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olde Town Medical
• Elizabeth Oler, PHARM.D.
• Brianne Fay Oliphant, SLP
• Rachael Meyer Olmstead, LCSW
• Babatunde Samuel Olowu, PMHNP-BC
• Nathan Eldon Olsen, D.C.
• Nicole Olsen
• Parker McKay Olsen, PA-C
• Garrett Scott Olson, PT
• Kelly R. Olson, PT

• Professional Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.