Justin Olmstead, MSMFT, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-21099 Issued in AZ

Practice address

3303 E Baseline Rd Ste 109
Gilbert, AZ 85234-2739

Phone

(480) 341-1885

Fax

(602) 753-9527

NPI assigned

Mar 15, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Yoches Consulting, LLC

  • Clinical Psychologist
  • Gilbert, AZ
  • NPI 1033774393
  NPD

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1972204964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 E SILVER CREEK RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962041",
            "telephone_number": "480-341-1885",
            "fax_number": "602-753-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 E BASELINE RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342739",
            "telephone_number": "480-341-1885",
            "fax_number": "602-753-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "JUSTIN",
        "credential": "MSMFT, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-21099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rya Oliver
• Laura Maria Olivera-Mejia, MS, BCBA-LBA
• Avianna Olivo
• Marissa Olmos, DMD
• Joel Olmstead, PA-C
• Tanner Mark Olsen, PA-C
• Angela M Olson, OTR/L
• Jefferson Oren Olson, PTA
• Joshua Robert Olson, M.D.
• Lindsey Olson, LCSW

• Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.