Active NPI
Michael S Olsen, LFMT
- Marriage & Family Therapist
- Astoria, OR
National Provider Identifier
1558620096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T1105
- Practice address
- 818 Commercial St
Ste 307
Astoria, OR 97103-4553 - Phone
- (503) 479-5531
- Fax
- (888) 977-3040
- NPI assigned
- May 3, 2012
- Last updated
- Jan 14, 2016
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T1105 | OR | Primary |
Addresses
Primary practice location
818 Commercial St
Ste 307
Astoria, OR 97103-4553
Mailing address
818 Commercial St
Ste 307
Astoria, OR 97103-4553
Phone (503) 479-5531
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T1105 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1558620096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 COMMERCIAL ST",
"address_2": "STE 307",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971034553",
"telephone_number": "503-479-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 COMMERCIAL ST",
"address_2": "STE 307",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971034553",
"telephone_number": "503-479-5531",
"fax_number": "888-977-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "LFMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-03",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T1105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, OR
- Jennifer Lee Nygaard, RN
- Ashley G O'Bryant, END OF LIFE DOULA
- Briana O'Connor
- Isaiah Scott O'Neill
- Marion Scarlett Oja, RN
- Michelle Olson, OT
- Ophthalmology and Neurology Associates, P.C.
- Osarch Orak, PSS
- Oregon Health Sciences University Department of Ophthalmology (OHSU Casey Eye Institute at Astoria)
- Kimberly Ortiz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.