Misty Danielle Olsen, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-7813 Issued in ID

Practice address

200 S Main St
Ste P3
Pocatello, ID 83204-3261

Phone

(208) 251-6789

NPI assigned

Oct 27, 2020

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Linking Resources, LLC

  dba Linking Resources

  • Clinical Social Worker
  • Chubbuck, ID
  • NPI 1205500832
  NPD
• Pacific Rim Consulting LLC

  • Community/Behavioral Health Agency
  • Pocatello, ID
  • NPI 1437585114
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1740880053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "address_2": "STE P3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043261",
            "telephone_number": "208-251-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "address_2": "STE P3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043261",
            "telephone_number": "208-251-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MISTY",
        "middle_name": "DANIELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-01-31",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-7813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blaine Olsen, D.O.
• Erin L Olsen, PTA
• Kara Kerise Olsen, NP-C
• Lynn David Olsen
• Matthew B Olsen, LCSW
• Kerry Olson
• Molly Olson, BA
• Olympus Family Dental
• Olympus Family Wellness Center, P.C.
• Grace Osa Onaiwu, PHARMD

• Mental Health Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.