Individual provider Active NPI

Kylie Lynn Olson, LPCC

  • Mental Health Counselor
  • Chanhassen, MN
National Provider Identifier
1669261491
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4991 Issued in MN
Practice address
600 Market St Ste 220
Chanhassen, MN 55317-4588
Phone
(612) 389-7002
NPI assigned
May 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4991 MN Primary

Addresses

Primary practice location

600 Market St Ste 220
Chanhassen, MN 55317-4588

Mailing address

600 Market St Ste 220
Chanhassen, MN 55317-4588
Phone (612) 389-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604003138 MN Practitioner - Mental Health Counselor 9537678040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nystrom & Associates, LTD CurrentSince Apr 13, 2026 Accepting new patients

Locations

600 Market St
Ste 220
Chanhassen, MN 55317
Phone (651) 213-9280

1370 Mendota Heights Rd
Mendota Heights, MN 55120
Phone (651) 583-4447

819 30th Ave S
Ste 208
Moorhead, MN 56560
Phone (218) 833-9107

1150 Montreal Ave
Ste 107
Saint Paul, MN 55116
Phone (651) 303-8080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1669261491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MARKET ST STE 220",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174588",
            "telephone_number": "612-389-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARKET ST STE 220",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174588",
            "telephone_number": "612-389-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "KYLIE",
        "middle_name": "LYNN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

Verify at the official NPI Registry.