Active NPI
Tiffany Kay Olson, LCSW, CSAC
- Mental Health Counselor
- Lone Rock, WI
National Provider Identifier
1467091736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11345-123
- Practice address
- 30955 County Hwy TB
Lone Rock, WI 53556-9021 - Phone
- (608) 604-9199
- NPI assigned
- Jan 3, 2020
- Last updated
- Sep 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16571-132 | WI | |
| Mental Health Counselor | 101YM0800X | 11345-123 | WI | Primary |
Addresses
Primary practice location
30955 County Hwy TB
Lone Rock, WI 53556-9021
Mailing address
30926 Olson LN
Lone Rock, WI 53556-9009
Phone (608) 604-9199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16571-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 11345-123 | WI | MD | Mental Health Counselor |
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.
-
- Adult Mental Health Clinic/Center
- Lone Rock, WI
- NPI 1568297281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1467091736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30926 OLSON LN",
"city": "LONE ROCK",
"state": "WI",
"postal_code": "535569009",
"telephone_number": "608-604-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30955 COUNTY HWY TB",
"city": "LONE ROCK",
"state": "WI",
"postal_code": "535569021",
"telephone_number": "608-604-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "TIFFANY",
"middle_name": "KAY",
"credential": "LCSW, CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-03",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "16571-132",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "11345-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Rock, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.