Organization Active NPI

Olson Counseling

  • Clinical Social Worker
  • Roscoe, IL
National Provider Identifier
1891187514
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149004808 Issued in IL
Legal business name
OLSON COUNSELING
Practice address
5334 Williams Dr
Roscoe, IL 61073-7320
Phone
(815) 871-0957
Fax
(866) 813-6462
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Ms. Andrea K Olson, LCSWNPI 1033538210
Title
Licensed Clinical Social Worker
Phone
(815) 871-0957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149004808 IL Primary

Addresses

Primary practice location

5334 Williams Dr
Roscoe, IL 61073-7320

Mailing address

5334 Williams Dr
Roscoe, IL 61073-7320
Phone (815) 871-0957

National Provider Directory

National Provider Directory

Locations

5334 Williams Dr
Roscoe, IL 61073
Phone (815) 243-0739

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1891187514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5334 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737320",
            "telephone_number": "815-871-0957",
            "fax_number": "866-813-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5334 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737320",
            "telephone_number": "815-871-0957",
            "fax_number": "866-813-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "815-871-0957",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149004808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roscoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.