Individual provider Active NPI

Olivia Rose Huard, LMSW

  • Mental Health Counselor
  • Lake Havasu City, AZ
National Provider Identifier
1851030084
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19238 Issued in AZ
Practice address
3275 Rustler Dr
Lake Havasu City, AZ 86404-4016
Phone
(909) 533-1181
NPI assigned
Jun 4, 2022
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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 19238 AZ Primary

Addresses

Primary practice location

3275 Rustler Dr
Lake Havasu City, AZ 86404-4016

Mailing address

3275 Rustler Dr
Lake Havasu City, AZ 86404-4016
Phone (909) 533-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1951 Mesquite Ave
Suite J
Lake Havasu City, AZ 86403-5746
Phone (928) 230-7294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19238AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salt and Light Counseling LLC Mental Health PastSince Dec 7, 2025 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1851030084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 RUSTLER DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864044016",
            "telephone_number": "909-533-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 RUSTLER DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864044016",
            "telephone_number": "909-533-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUARD",
        "first_name": "OLIVIA",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "19238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.