Melissa Olsen, MFT-IT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

582-228 Issued in WI

Practice address

165 W Netherwood St Ste a
Oregon, WI 53575-1107

Phone

(608) 835-5050

Fax

(608) 835-5050

NPI assigned

Nov 21, 2017

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oregon Mental Health Services,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oregon, WI
  • NPI 1801925433
  NPD (past)

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1922512334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST STE A",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST STE A",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSEN",
        "first_name": "MELISSA",
        "credential": "MFT-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "582-228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "582-228",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael David Nelson, DDS
• Amy Lynn O'Brien, LCSW
• Kelsey Offerman
• David J Okada, MD
• Erin J Olheiser
• Richard Dewey Olson, O.D.
• Oregon Area Fire-EMS District
• Oregon Bike and Skate LLC
• Oregon Dental Professionals LLC
• Oregon Family Eye Care, LLC

• Marriage & Family Therapist in Oregon, WI
• Providers in Oregon, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.