1. Home
  2. Directory
  3. Virginia
  4. Dumfries
  5. Counselor
  6. NPI Profile

DR. LOTTIE GRACE OLSON-DAVIDSON PH.D., LPC, LCMHC
NPI 1528090016
Counselor - Mental Health in Dumfries, VA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
4222 FORTUNA CENTER PLZ STE 192, DUMFRIES, VA 22025(703) 910-7529(703) 910-7555 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2024, Jun 22, 2023, Nov 18, 2022 (3 updates tracked since 2022).

About Dr. Lottie Grace Olson-davidson Ph.d., Lpc, Lcmhc NPPES

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

DR. LOTTIE GRACE OLSON-DAVIDSON PH.D., LPC, LCMHC (NPI 1528090016) is an individual mental health provider in Dumfries, Virginia, licensed in Virginia (VA #0701005309) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528090016
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. LOTTIE GRACE OLSON-DAVIDSONCredential: PH.D., LPC, LCMHC
Location Address4222 FORTUNA CENTER PLZ STE 192Dumfries, VA 22025-1515
Mailing Address4222 Fortuna Center Plz Ste 192Dumfries, VA 22025-1515 · (703) 910-7529 · Fax (703) 910-7555
Phone(703) 910-7529
Fax(703) 910-7555
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 20, 20243 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1528090016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in VA · VA #0701005309✔ Licensed in AK · 456✔ Licensed in GA · 4402✔ Licensed in NC · NC # 9490✔ Licensed in DC · PRC14303
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C-4523 (AK)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 9384 (SC), CC7371 (ME), PC7218 (ME)
4222 FORTUNA CENTER PLZ STE 192, Dumfries, VA 22025
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lottie Grace Olson-davidson Ph.d., Lpc, Lcmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244761757
PECOS Enrollment IDI20241008000711
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lottie Olson-davidson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grace Counseling & Mediation Services LLC
2.0 mi
Mental Health
2875 CHEVOIT HILL CT
Woodbridge, VA 22191
  • Reassigned Medicare billing, Virginia enrollment
NPI 1144476847 (703) 910-7529
Myspectrum LLC
78 mi
Mental Health
707 N COURTHOUSE RD
North Chesterfield, VA 23236
  • Reassigned Medicare billing, Virginia enrollment
  • 50 clinicians in this Medicare group
NPI 1174029359 (804) 332-5696

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lottie Olson-davidson's NPI number?

The NPI number for Lottie Olson-davidson is 1528090016. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Lottie Olson-davidson located?

Lottie Olson-davidson practices at 4222 Fortuna Center Plz Ste 192, Dumfries, VA 22025. The listed phone number is (703) 910-7529.

What is Lottie Olson-davidson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lottie Olson-davidson enrolled in Medicare?

Yes. Lottie Olson-davidson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lottie Olson-davidson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lottie Olson-davidson reassigns Medicare benefits to 2 organizations: Grace Counseling & Mediation Services LLC (Woodbridge, VA) and Myspectrum LLC (North Chesterfield, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lottie Olson-davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lottie Olson-davidson accept?

Health plans from UnitedHealthcare list Lottie Olson-davidson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lottie Olson-davidson was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.