Jade Olschlager

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

21 9TH St S
Fargo, ND 58103-1830

Phone

(701) 893-8498

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Beacon of Light House

  • Case Management Agency
  • Fargo, ND
  • NPI 1063112746
  NPD (past)

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1558100784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 9TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031830",
            "telephone_number": "701-893-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 9TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031830",
            "telephone_number": "701-893-8498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 2nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581031705",
            "country_code": "US",
            "telephone_number": "701-893-8498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 9th St S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581031831",
            "country_code": "US",
            "telephone_number": "701-893-8498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSCHLAGER",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Hong Olivas, DNP FNP-C
• Cameron R Oliver, RN, CRNA
• Kerry Oliver, OTRL
• Samantha Oliver, PHD
• Alexa Olevia Olschlager, LPCC
• Lynne Marie Olson Rommesmo, D.D.S.
• Heidi M Olson-Fitzgerald, PAC
• Abbigail Rae Olson, DO
• Abigail Olson
• Adrianna Olson

• Peer Specialist in Fargo, ND
• Providers in Fargo, ND by specialty
• Peer Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.