Active NPI
Robert Olson, LPC
- Counselor
- Fredericksburg, VA
National Provider Identifier
1477093961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701006923
- Practice address
- 10715 Spotsylvania Ave
Fredericksburg, VA 22408-2674 - Phone
- (540) 339-3640
- NPI assigned
- Mar 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701006923 | VA | Primary |
Addresses
Primary practice location
10715 Spotsylvania Ave
Fredericksburg, VA 22408-2674
Mailing address
10715 Spotsylvania Ave
Fredericksburg, VA 22408-2674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Compass Counseling Services of Northern Virginia | Past | Accepting new patients |
Locations
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
13285 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 986-2400
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
Organizations & group practices 3
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.
-
- Health Maintenance Organization
- Lansdowne, VA
- NPI 1861552721
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Community/Behavioral Health Agency
- Fredericksburg, VA
- NPI 1649506940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1477093961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10715 SPOTSYLVANIA AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224082674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10715 SPOTSYLVANIA AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224082674",
"telephone_number": "540-339-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "ROBERT",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701006923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Olivia Oliver, LCSW
- Myra Calongcagong Oliveros, PT
- Olivia Ehrbar Counseling, Professional Limited Liability Company
- Heather Leigh Oljey, M.A., CCC-SLP
- Cynthia Marie Olsen Farquhar, LCSW
- One Body Family Practice
- Abigail Ongor, OTR/L
- Saba Oniani, MD
- Online Counseling Services of Virginia, LLC
- Joy Onukogu, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.