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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANISAH OLSON LPCC
NPI 1417612292
Counselor - Professional in Shoreview, MN

Active since November 05, 2021PECOS Enrolled
4570 CHURCHILL ST STE 300, SHOREVIEW, MN 55126(651) 313-8080(651) 925-0610 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2026, Nov 5, 2021 (2 updates tracked since 2021).

About Anisah Olson Lpcc NPPES

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

ANISAH OLSON LPCC (NPI 1417612292) is an individual professional provider in Shoreview, Minnesota, licensed in Minnesota (5890) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417612292
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANISAH OLSONCredential: LPCC
Location Address4570 CHURCHILL ST STE 300Shoreview, MN 55126-2274
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(651) 313-8080
Fax(651) 925-0610
Sole ProprietorNo
Enumeration DateNovember 5, 2021
Last NPPES UpdateOctober 9, 20262 updates tracked since enumeration
NPPES CertifiedOctober 9, 2026
✔ NPI 1417612292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 5890
4570 CHURCHILL ST STE 300, Shoreview, MN 55126
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 6

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

RILEY ENGSTROM MA, LPCC, LADC
Counselor (Professional)
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 313-8080
ROGER LEE BURTRAW III PT
Physical Therapist
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 481-1071
MARK ROBERT WILCOX DPT
Physical Therapist
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 481-1071
REBEKAH HUFF LPCC
Counselor (Professional)
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 313-8080
MADISON GRUENEWALD MA, LADC
Counselor (Professional)
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 313-8080
JAZZMYN GOLDSMITH LMFT
Marriage & Family Therapist
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Ramsey County (651) 313-8080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anisah Olson's NPI number?

The NPI number for Anisah Olson is 1417612292. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Where is Anisah Olson located?

Anisah Olson practices at 4570 Churchill St Ste 300, Shoreview, MN 55126. The listed phone number is (651) 313-8080.

What is Anisah Olson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Anisah Olson enrolled in Medicare?

Yes. Anisah Olson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anisah Olson was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.