Ivy Renae Olson, MS
Individual provider Active NPI Professional Counselor · Mankato, MN
NPI 1497525968 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1497525968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 125 Saint Andrews CT Ste 204
Mankato, MN 56001-8605 - Phone
- (507) 387-3777
- Fax
- (507) 344-1726
- NPI assigned
- Jan 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12918 63Rd Ave N
Maple Grove, MN 55369-6001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260220000296 | WI | Practitioner - Mental Health Counselor | 1658852413 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Counseling LLC | Current |
Accepting new patients | |
| Adult, Child & Family Services, LLC | Current |
Accepting new patients |
Locations
125 Saint Andrews Ct
Ste 204
Mankato, MN 56001
Phone (507) 387-3777
1400 Madison Ave
Ste 610
Mankato, MN 56001
Phone (507) 387-3777
12918 63rd Ave N
Maple Grove, MN 55369
Phone (952) 999-1959
3610 Oakwood Mall Dr
Ste 203
Eau Claire, WI 54701
901 4th St
Hudson, WI 54016
Phone (651) 492-8498
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
125 Saint Andrews CT Ste 204
Mankato, MN 56001-8605
Mailing address
125 Saint Andrews CT Ste 204
Mankato, MN 56001-8605
Other providers in Mankato, MN
- Kimberly Olsen
- Nicole Olsen
- Robert Allan Olsen
- Ashley Meredith Olson
- Brittany Lynn Olson
- Krystal Olson
- Morgan Olson
- Robert J Olson
- Tina Ann Olson
- Stevan Oluic
All providers in Mankato, MN · Professional Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.