Active NPI
Susan Lynne Olson, LCMFT
- Marriage & Family Therapist
- Kansas City, KS
National Provider Identifier
1558492967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 772
- Practice address
- 7840 Washington Ave
Kansas City, KS 66112-2152 - Phone
- (913) 328-4625
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 772 | KS | Primary |
Addresses
Primary practice location
7840 Washington Ave
Kansas City, KS 66112-2152
Mailing address
7840 Washington Ave
Kansas City, KS 66112-2152
Phone (913) 328-4625
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098080C | Other | KS | SED WAIVER |
| 10009808A | Medicaid | KS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 772 | KS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1558492967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7840 WASHINGTON AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661122152",
"telephone_number": "913-328-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 WASHINGTON AVE",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661122152",
"telephone_number": "913-328-4625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "SUSAN",
"middle_name": "LYNNE",
"credential": "LCMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SED WAIVER",
"identifier": "100098080C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10009808A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.