Jessica L Olson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC20715 Issued in SD

Practice address

5000 S Broadband LN Ste 119
Sioux Falls, SD 57108-2261

Phone

(605) 777-0075

Fax

(888) 977-2561

NPI assigned

Apr 17, 2023

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

Other names 1

• Jessica L Glissendorf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1790471142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S BROADBAND LN STE 119",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082261",
            "telephone_number": "605-777-0075",
            "fax_number": "888-977-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S BROADBAND LN STE 119",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082261",
            "telephone_number": "605-777-0075",
            "fax_number": "888-977-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC20715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GLISSENDORF",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Bernard Olson, PT
• Hannah Marie Olson, PHARMD
• James P Olson, MD
• Jared Olson, DO
• Jennifer Olson
• Joshua Olson, DPT
• Kalee Marie Olson, PA-C
• Katherine Olson
• Kaylie Olson
• Lesli Jean Olson, RN

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.