Active NPI
Katie Olsen, LPMT, MT-BC
- Music Therapist
- Chamblee, GA
National Provider Identifier
1568098804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- MUT000172
- Practice address
- 3450 Miller Dr Unit 1234
Chamblee, GA 30341-2758 - Phone
- (860) 221-4068
- NPI assigned
- Mar 18, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Music Therapist | 225A00000X | MUT000172 | GA | Primary |
Addresses
Primary practice location
3450 Miller Dr Unit 1234
Chamblee, GA 30341-2758
Mailing address
3450 Miller Dr Unit 1234
Chamblee, GA 30341-2758
Phone (860) 221-4068
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 |
|---|---|---|---|
| MUT000172 | GA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1568098804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 MILLER DR UNIT 1234",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303412758",
"telephone_number": "860-221-4068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 MILLER DR UNIT 1234",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303412758",
"telephone_number": "860-221-4068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSEN",
"first_name": "KATIE",
"credential": "LPMT, MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "GA",
"license": "MUT000172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.