Shaundra Olson, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3022 Issued in MN

Practice address

4230 Meghan LN
Eagan, MN 55122-3021

Phone

(612) 466-0510

NPI assigned

Oct 6, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Midwest Recovery, IncGroup PAC ID 3476076712, 6 clinicians

Eagan Psychotherapy LLCGroup PAC ID 7012313976, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Midwest Recovery, Inc

  • Substance Abuse Rehabilitation Facility
  • Bloomington, MN
  • NPI 1801268354
  Medicare reassignment Care Compare group NPD
• Eagan Psychotherapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eagan, MN
  • NPI 1518501584
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1942962097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 MEGHAN LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 MEGHAN LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223021",
            "telephone_number": "612-466-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "SHAUNDRA",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Olsen, LP, PSY.D
• Thomas Steven Olsen, D.C
• Mindy Olson, LMT
• Paige Olson
• Samuel R Olson, DPT
• Susan M. Olson, DDS
• Abdullahi Mohamed Omar
• Halimo Shafie Omar
• Hawa S Omar
• Sucaado Omar

• Mental Health Counselor in Eagan, MN
• Providers in Eagan, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.