Organization Active NPI

Kaklauskas Olson Group, LLC

  • Clinical Social Worker
  • Boulder, CO
National Provider Identifier
1700114584
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
992389 Issued in CO
Legal business name
KAKLAUSKAS OLSON GROUP, LLC
Practice address
1911 11TH St.
Ste. 211
Boulder, CO 80302
Phone
(303) 545-9392
Fax
(303) 545-9394
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Elizabeth Ann Olson, PSYD., LCSW
Title
Licensed Clinical Social Worker
Phone
(303) 545-9392

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LPC2223 CO
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 6504 CO
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 992389 CO Primary

Addresses

Primary practice location

1911 11TH St.
Ste. 211
Boulder, CO 80302

Mailing address

1911 11TH St.
Ste. 211
Boulder, CO 80302
Phone (303) 545-9392

National Provider Directory

National Provider Directory

Locations

1911 11th St
Ste 211
Boulder, CO 80302
Phone (303) 545-9392

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1700114584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 11TH ST.",
            "address_2": "STE. 211",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "303-545-9392",
            "fax_number": "303-545-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 11TH ST.",
            "address_2": "STE. 211",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "303-545-9392",
            "fax_number": "303-545-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAKLAUSKAS OLSON GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "303-545-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD., LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "LPC2223",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "6504",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.