Individual provider Active NPI

James F Olson, LCMHC, BCBA

  • Professional Counselor
  • Brattleboro, VT
National Provider Identifier
1598833774
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0680000656 Issued in VT
Practice address
212 Fox Farm Rd
Brattleboro, VT 05301-9135
Phone
(802) 579-5192
NPI assigned
Dec 4, 2006
Last updated
Jul 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0680000656 VT Primary
Behavior Analyst 103K00000X 00000000000000 VT

Addresses

Primary practice location

212 Fox Farm Rd
Brattleboro, VT 05301-9135

Mailing address

130 Austine Dr
Brattleboro, VT 05301-7040
Phone (802) 579-5192

Other identifiers 1

IdentifierTypeStateIssuer
1011330MedicaidVT

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

LicenseStateTypeSpecialty
0680000656VTMDProfessional Counselor
00000000000000VTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Centerllc Behavior Analyst Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1598833774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AUSTINE DR",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053017040",
            "telephone_number": "802-579-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 FOX FARM RD",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053019135",
            "telephone_number": "802-579-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JAMES",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LCMHC, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VT",
            "license": "0680000656",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VT",
            "license": "00000000000000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011330",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.