Individual provider Active NPI

Lila Olson

  • Counselor
  • Raleigh, NC
National Provider Identifier
1497474662
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A17722 Issued in NC
Practice address
11428 Royal Amber Way
Raleigh, NC 27614-9896
Phone
(919) 618-1353
Fax
(919) 741-4741
NPI assigned
Aug 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A17722 NC Primary

Addresses

Primary practice location

11428 Royal Amber Way
Raleigh, NC 27614-9896

Mailing address

1705 Fairview Rd
Raleigh, NC 27608-2413
Phone (919) 618-1353

Other identifiers 1

IdentifierTypeStateIssuer
A17722OtherNCLISCENSED CLINICAL MENTAL HEALTH COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.nourcounseling.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A17722NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nour Counseling & Consulting, PLLC CurrentSince Aug 28, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1497474662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FAIRVIEW RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082413",
            "telephone_number": "919-618-1353",
            "fax_number": "919-741-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11428 ROYAL AMBER WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276149896",
            "telephone_number": "919-618-1353",
            "fax_number": "919-741-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "LILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A17722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSED CLINICAL MENTAL HEALTH COUNSELOR",
            "identifier": "A17722",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nourcounseling.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11428 Royal Amber Way",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276149896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.