LISA DAWN OLSON
NPI 1558559542
Counselor - Mental Health in San Rafael, CA

NPI Status: Active since October 04, 2007

Contact Information

555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 491-5700

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Counselor
Mental Health
PECOS Enrolled
Opted-Out Medicare

About LISA OLSON

This page provides the complete NPI Profile along with additional information for Lisa Olson, a provider established in San Rafael, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1558559542 assigned on October 2007. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI: 1558559542
Provider Name: LISA DAWN OLSON
Gender: Female
Entity Type: Individual
Location Address: 555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN SAN RAFAEL, CA 94903
Location Phone: (415) 491-5700
Mailing Address: 555 NORTHGATE DR FAMILY SERVICE AGENCY OF MARIN SAN RAFAEL, CA 94903
Mailing Phone: (415) 491-5700
Is Sole Proprietor?: No
Enumeration Date: 10-04-2007
Last Update Date: 10-04-2007
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A mental health counselor like Lisa Olson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lisa Olson opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Counselor Mental Health
Taxonomy Code: 101YM0800X
Type: Behavioral Health & Social Service Providers

Medicare Participation & PECOS Enrollment Status

Lisa Olson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	5	8	5	5	9	5	4	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	10	8	10	5	18	5	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 1 + 0 + 5 + 1 + 8 + 5 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2									2

The NPI number 1558559542 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 19 providers are registered at the same or nearby location.

MRS. MELISSA LEE

Counselor

(Mental Health)

555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA
ZIP 94903

About LISA OLSON

Location Map

Specialty - Primary Taxonomy

Counselor Mental Health

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Opted-Out of Medicare? Yes

Opt-Out Effective Date: 01-01-2024

Opt-Out End Date: 01-01-2026

Eligible to Order and Refer? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): No

Eligible to Order or Refer Power Mobility Devices: No

Reviews for LISA DAWN OLSON

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Lisa Olson's NPI number?

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