Active NPI
Gwen Marie Olson, LMFT
- Marriage & Family Therapist
- Duluth, MN
National Provider Identifier
1619256088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2148
- Practice address
- 4000 W 9TH St
Duluth, MN 55807-1563 - Phone
- (218) 625-2685
- Fax
- (218) 625-2697
- NPI assigned
- Aug 16, 2011
- 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 | 2148 | MN | Primary |
Addresses
Primary practice location
4000 W 9TH St
Duluth, MN 55807-1563
Mailing address
1401 East First Street
Duluth, MN 55805
Phone (218) 728-4404
Other names 1
- Gwen Marie Schramer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 27, 2026 through Apr 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2148 | MN | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1619256088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 EAST FIRST STREET",
"city": "DULUTH",
"state": "MN",
"postal_code": "55805",
"telephone_number": "218-728-4404",
"fax_number": "218-728-4404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W 9TH ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558071563",
"telephone_number": "218-625-2685",
"fax_number": "218-625-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "GWEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-16",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "2148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GWEN",
"last_name": "SCHRAMER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.