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TIMOTHY OLSEN
NPI 1699223370
Counselor - Mental Health in Chicago, IL

Active since September 12, 2016PECOS Enrolled
5905 W EASTWOOD AVE, CHICAGO, IL 60630(312) 545-5247 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Timothy Olsen NPPES

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

TIMOTHY OLSEN (NPI 1699223370) is an individual mental health provider in Chicago, Illinois and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699223370
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY OLSEN
Location Address5905 W EASTWOOD AVEChicago, IL 60630-3104
Mailing Address5905 W Eastwood AveChicago, IL 60630-3104 · (312) 545-5247
Phone(312) 545-5247
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 12, 2016
✔ NPI 1699223370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5905 W EASTWOOD AVE, Chicago, IL 60630
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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)

Timothy Olsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143791541
PECOS Enrollment IDI20260606000397
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.

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 Timothy Olsen's NPI number?

The NPI number for Timothy Olsen is 1699223370. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is Timothy Olsen located?

Timothy Olsen practices at 5905 W Eastwood Ave, Chicago, IL 60630. The listed phone number is (312) 545-5247.

What is Timothy Olsen's specialty?

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

Is Timothy Olsen enrolled in Medicare?

Yes. Timothy Olsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Olsen was last updated on September 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.