Individual provider Active NPI

Angela D Olson, MA, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1770768889
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 00011149 Issued in WA
Practice address
20102 Cedar Valley Rd Ste 204
Lynnwood, WA 98036-6333
Phone
(425) 338-7589
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 00011149 WA Primary

Addresses

Primary practice location

20102 Cedar Valley Rd Ste 204
Lynnwood, WA 98036-6333

Mailing address

4627 156TH St SE
Bothell, WA 98012-4720
Phone (425) 345-3035

Other practice location 1

3305 Oakes Ave Ste 100
Everett, WA 98201-4409
Phone (425) 338-7589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20241125000979 WA Practitioner - Mental Health Counselor 5294260436 Receives reassigned benefits from 9 practitioners
Practice locations: Everett, WA; Lynnwood, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20102 Cedar Valley Rd
Suite 204
Lynnwood, WA 98036-6333
Phone (425) 338-7589

3305 Oakes Ave
Suite 100
Everett, WA 98201-4409
Phone (425) 338-7589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH 00011149WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Olson LMHC LLC Mental Health CurrentSince Sep 23, 2024 Accepting new patients

Locations

3305 Oakes Ave
#100
Everett, WA 98201
Phone (425) 338-7589

3305 Oakes Ave
Everett, WA 98201
Phone (425) 236-5520

20102 Cedar Valley Rd
Ste 204
Lynnwood, WA 98036
Phone (425) 280-0002

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1770768889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 156TH ST SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980124720",
            "telephone_number": "425-345-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20102 CEDAR VALLEY RD STE 204",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366333",
            "telephone_number": "425-338-7589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 Oakes Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014409",
            "country_code": "US",
            "telephone_number": "425-338-7589",
            "fax_number": "425-771-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 00011149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.