MRS. LISA JEANNE PALMER-OLSEN MFT
NPI 1417093345
Marriage & Family Therapist in San Diego, CA

Q: What is Lisa Palmer-olsen's NPI number?

The NPI number for Lisa Palmer-olsen is 1417093345. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Lisa Palmer-olsen's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Lisa Palmer-olsen enrolled in Medicare?

No. Lisa Palmer-olsen has opted out of Medicare through January 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Palmer-olsen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 29, 2007Opted out of Medicare · through Jan 16, 2028

3821 FRONT ST, SAN DIEGO, CA 92103(619) 895-0509(619) 294-3225 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Lisa Jeanne Palmer-olsen Mft NPPES

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

MRS. LISA JEANNE PALMER-OLSEN MFT (NPI 1417093345) is an individual marriage & family therapist in San Diego, California, licensed in California (MFT 37577) and active in the NPI registry since January 2007. She has opted out of Medicare through January 16, 2028.

NPPES Registry Identity

NPI1417093345

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. LISA JEANNE PALMER-OLSENCredential: MFT

Location Address3821 FRONT STSan Diego, CA 92103-3019

Mailing Address3821 Front StSan Diego, CA 92103-3019 · (619) 895-0509 · Fax (619) 294-3225

Phone(619) 895-0509

Fax(619) 294-3225

Sole ProprietorYes

Enumeration DateJanuary 29, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417093345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFT 37577

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

3821 FRONT ST, San Diego, CA 92103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Lisa Jeanne Palmer-olsen Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 16, 2024 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2024

Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

DR. THERESE REICHERT PH.D.

Psychologist (Clinical)