NPIMap

Organization Active NPI

New Day Counseling Clinic

  • Community/Behavioral Health Agency
  • Edina, MN
National Provider Identifier
1710005897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LP3475 Issued in MN
Legal business name
NEW DAY COUNSELING CLINIC
Practice address
4005 W 65TH St
Suite 204
Edina, MN 55435-1720
Phone
(952) 920-2282
Fax
(952) 920-2219
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Glenn Olson, PSYD LPNPI 1174745681
Title
Owner Ceo
Phone
(952) 920-2282

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
Community/Behavioral Health Agency 251S00000X LP3475 MN Primary

Addresses

Primary practice location

4005 W 65TH St
Suite 204
Edina, MN 55435-1720

Mailing address

4005 W 65TH St
Suite 204
Edina, MN 55435-1720
Phone (952) 920-2282

Other identifiers 2

IdentifierTypeStateIssuer
291M8NEOtherMNBCBS
6164976OtherMNUBH MEDICA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710005897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "SUITE 204",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "952-920-2282",
            "fax_number": "952-920-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W 65TH ST",
            "address_2": "SUITE 204",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351720",
            "telephone_number": "952-920-2282",
            "fax_number": "952-920-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAY COUNSELING CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "952-920-2282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP3475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "291M8NE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH MEDICA",
            "identifier": "6164976",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.