Organization Active NPI

Marie Casey Olseth, MD, LLC

  • Adult Mental Health Clinic/Center
  • St Louis Park, MN
National Provider Identifier
1699196337
Registry record updated Dec 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PY 49497 Issued in MN
Legal business name
MARIE CASEY OLSETH, MD, LLC
Practice address
1550 Utica Ave S
Ste 450
St Louis Park, MN 55416-5312
Phone
(952) 856-8452
Fax
(952) 746-4383
NPI assigned
Dec 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2015

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

Authorized official

Name
Dr. Marie Casey Olseth, M.D.NPI 1801846977
Title
Owner
Phone
(612) 804-3548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PY 49497 MN Primary

Addresses

Primary practice location

1550 Utica Ave S
Ste 450
St Louis Park, MN 55416-5312

Mailing address

23790 Lawtonka Dr
Excelsior, MN 55331-1767
Phone (612) 804-3548

Other names 1

  • West End Consultation Group Doing business as

National Provider Directory

National Provider Directory

Locations

1550 Utica Ave S
Ste 450
St Louis Park, MN 55416
Phone (952) 856-8452

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450483200000",
    "number": "1699196337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23790 LAWTONKA DR",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311767",
            "telephone_number": "612-804-3548",
            "fax_number": "952-746-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 UTICA AVE S",
            "address_2": "STE 450",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165312",
            "telephone_number": "952-856-8452",
            "fax_number": "952-746-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE CASEY OLSETH, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-24",
        "last_updated": "2015-12-19",
        "status": "A",
        "authorized_official_last_name": "OLSETH",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-804-3548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "PY 49497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West End Consultation Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.