Individual provider Active NPI

Jerry Lynn Olson, LPC CADC III

  • Professional Counselor
  • Marshfield, WI
National Provider Identifier
1699849992
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1802-125 Issued in WI
Practice address
252 S. Central Ave. Hergert and Gaziano
Suite # 21
Marshfield, WI 54449-1241
Phone
(715) 384-7579
Fax
(715) 384-8131
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 1802-125 WI Primary

Addresses

Primary practice location

252 S. Central Ave. Hergert and Gaziano
Suite # 21
Marshfield, WI 54449-1241

Mailing address

1703 Sawyer Dr
Apt. C
Marshfield, WI 54449-1241
Phone (715) 486-1557

Other identifiers 2

IdentifierTypeStateIssuer
1802-125OtherWILPC
1063OtherWICADC III

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
1802-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hergert & Gazinao Family Counseling Services Addiction (Substance Use Disorder) 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1699849992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 SAWYER DR",
            "address_2": "APT. C",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491241",
            "telephone_number": "715-486-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 S. CENTRAL AVE. HERGERT AND GAZIANO",
            "address_2": "SUITE # 21",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491241",
            "telephone_number": "715-384-7579",
            "fax_number": "715-384-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JERRY",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "LPC  CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "1802-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "1802-125",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC III",
            "identifier": "1063",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.