SAMANTHA ANN OLSON
NPI 1407496185
Counselor in Owosso, MI

Q: What is Samantha Olson's NPI number?

The NPI number for Samantha Olson is 1407496185. It was assigned to this individual provider in the NPPES registry on January 10, 2020.

Q: What is Samantha Olson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Olson was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2020PECOS Enrolled

632 N SHIAWASSEE ST, OWOSSO, MI 48867(989) 723-0330 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2022, Jan 10, 2020 (2 updates tracked since 2020).

On this page

About Samantha Ann Olson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ANN OLSON (NPI 1407496185) is an individual counselor in Owosso, Michigan, licensed in Michigan (6451020906) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407496185

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSAMANTHA ANN OLSON

Location Address632 N SHIAWASSEE STOwosso, MI 48867-2232

Mailing AddressPo Box 289Mason, MI 48854-0289 · (517) 676-5405 · Fax (517) 676-5460

Phone(989) 723-0330

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 10, 2020

Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration

NPPES CertifiedAugust 5, 2022

✔ NPI 1407496185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6451020906

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

632 N SHIAWASSEE ST, Owosso, MI 48867

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Ann Olson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961999800

PECOS Enrollment IDI20251014004370

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KAREN D. PENNER RN

Registered Nurse