Active NPI
Darcy Caleb Olson, M.ED., L.A.D.C.
- Addiction (Substance Use Disorder) Counselor
- Bismarck, ND
National Provider Identifier
1619019585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1663
- Practice address
- 101 E Broadway Ave
Bismarck, ND 58501-3840 - Phone
- (701) 222-0386
- Fax
- (701) 255-4891
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1663 | ND | Primary |
Addresses
Primary practice location
101 E Broadway Ave
Bismarck, ND 58501-3840
Mailing address
101 E Broadway Ave
Bismarck, ND 58501-3840
Phone (701) 222-0386
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1663 | ND | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1619019585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E BROADWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013840",
"telephone_number": "701-222-0386",
"fax_number": "701-255-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E BROADWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013840",
"telephone_number": "701-222-0386",
"fax_number": "701-255-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DARCY",
"middle_name": "CALEB",
"name_prefix": "Mr.",
"credential": "M.ED., L.A.D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ND",
"license": "1663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.