1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Counselor
  6. NPI Profile

GARY OLSEN SUDC
NPI 1487152203
Counselor - Addiction (Substance Use Disorder) in Provo, UT

Active since January 26, 2018
750 N FREEDOM BLVD, PROVO, UT 84601(801) 373-4760(802) 373-0639 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary Olsen Sudc NPPES

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

GARY OLSEN SUDC (NPI 1487152203) is an individual addiction (substance use disorder) provider in Provo, Utah, licensed in Utah (5264432-6006) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1487152203
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGARY OLSENCredential: SUDC
Location Address750 N FREEDOM BLVDProvo, UT 84601-1677
Mailing Address750 N Freedom BlvdProvo, UT 84601-1677 · (801) 373-4760 · Fax (801) 373-0639
Phone(801) 373-4760
Fax(802) 373-0639
Sole ProprietorNo
Enumeration DateJanuary 26, 2018
Last NPPES UpdateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1487152203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in UT · 5264432-6006
750 N FREEDOM BLVD, Provo, UT 84601
Open in Google Maps ↗

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.

ELIZA RACHELLE GEDGE PH.D., LP
Psychologist (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-0639
WASATCH MENTAL HEALTH
Clinic/Center (Adolescent and Children Mental Health)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
JUSTINE CADAYONG EGGLESTON
Social Worker (Clinical)
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
SARAH FARIA
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
MEGAN NICHOLS
Case Manager/Care Coordinator
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
VICTORIA RYALS
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
KAMERYA HANOHANO
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760
ALLISON RAMIREZ
Peer Specialist
750 N FREEDOM BLVD
PROVO, UT 84601
Utah County (801) 373-4760

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 Gary Olsen's NPI number?

The NPI number for Gary Olsen is 1487152203. It was assigned to this individual provider in the NPPES registry on January 26, 2018.

Where is Gary Olsen located?

Gary Olsen practices at 750 N Freedom Blvd, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Gary Olsen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gary Olsen was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.