Individual provider Active NPI

Melanie L. Olsen, MSED

  • Mental Health Counselor
  • Boardman, OH
National Provider Identifier
1881753101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C7454 Issued in OH
Practice address
955 Windham CT
Suite 2
Boardman, OH 44512-5035
Phone
(330) 884-1900
Fax
(330) 884-1928
NPI assigned
Dec 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 C7454 OH Primary

Addresses

Primary practice location

955 Windham CT
Suite 2
Boardman, OH 44512-5035

Mailing address

955 Windham CT
Suite 2
Boardman, OH 44512-5035
Phone (330) 884-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240122001437 OH Practitioner - Mental Health Counselor 8527410976 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C7454OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Psy-Care Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276

3040 Belmont Ave
Ste C
Youngstown, OH 44505

Organizations & group practices 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881753101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-884-1900",
            "fax_number": "330-884-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 WINDHAM CT",
            "address_2": "SUITE 2",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125035",
            "telephone_number": "330-884-1900",
            "fax_number": "330-884-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MELANIE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C7454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.