Patricia Ann Olson, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4302287 Issued in MN

Practice address

205 W 2ND St Ste 431
Duluth, MN 55802-1922

Phone

(218) 310-8712

Fax

(218) 216-1226

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inner Wisdom Psychotherapy, LLC

  • Clinical Social Worker
  • Duluth, MN
  • NPI 1497111686
  Medicare reassignment NPD Authorized official
• Brightwater Health Dba Human Development Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, MN
  • NPI 1194790733
  NPD (past)
• Brightwater Health Dba Human Development Center

  • Community/Behavioral Health Agency
  • Superior, WI
  • NPI 1407021579
  NPD (past)
• HRC Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Superior, WI
  • NPI 1922073121
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1699875971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST STE 431",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021922",
            "telephone_number": "218-310-8712",
            "fax_number": "218-216-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST STE 431",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021922",
            "telephone_number": "218-310-8712",
            "fax_number": "218-216-1226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2024 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558062053",
            "country_code": "US",
            "telephone_number": "218-722-1351",
            "fax_number": "218-727-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4302287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39779500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580613500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan E Olson, SLP
• Natalie Mae Olson, MA
• Olivia Olson
• Paige Sierra Olson, APRN, CNM
• Patricia Ann Olson, RN
• Richard Olson
• Ruth Elaine Olson
• Shelly Olson
• Tawny Loera Olson, PHARMD
• Wendy Michelle Olson, LICSW

• Mental Health Counselor in Duluth, MN
• Providers in Duluth, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.