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KELLY OLSON
NPI 1790804409
Marriage & Family Therapist in Fargo, ND

Active since March 27, 2007PECOS Enrolled
1201 25TH ST S, FARGO, ND 58103(701) 451-4900(651) 925-0057 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Olson NPPES

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

KELLY OLSON (NPI 1790804409) is an individual marriage & family therapist in Fargo, North Dakota, licensed in North Dakota (2009-023) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790804409
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKELLY OLSON
Location Address1201 25TH ST SFargo, ND 58103-2311
Mailing Address1201 25th St SFargo, ND 58103-2311 · (701) 451-4900 · Fax (651) 925-0057
Phone(701) 451-4900
Fax(651) 925-0057
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateFebruary 25, 2020
✔ NPI 1790804409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in ND · 2009-023✔ Licensed in MN · 1074
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1201 25TH ST S, Fargo, ND 58103
Open in Google Maps ↗

Other Identifiers 7

Other245K1OLMN · Bcbs Mn
Other56560-B005MN · Triwest
Medicaid727623100MN
Other2352433MN · America's Ppo
Other3100200502MN · Primewest Health
OtherHP51290MN · Health Partners
Other9398252MN · Phcs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Olson 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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Olson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Village Family Service Center
0.2 mi
Mental Health (Including Community Mental Health Center)
2701 12TH AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 33 clinicians in this Medicare group
NPI 1568492353 (701) 451-4900

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

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.

MICHELLE COLTON LBSW
Social Worker
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
KATHERINE FIGUERRES LPCC
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
CHRISTINE BIETZ
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
MARY K UONG-KAALE
Marriage & Family Therapist
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
JEFFREY D MADSEN LAPC
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
JENNA DOBERVICH
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
MS. JENNIFER REID M.ED, LAC
Counselor (Professional)
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900
NADINE ANN HILLESHEIM
Psychologist
1201 25TH ST S
FARGO, ND 58103
Cass County (701) 451-4900

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 Kelly Olson's NPI number?

The NPI number for Kelly Olson is 1790804409. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Kelly Olson located?

Kelly Olson practices at 1201 25th St S, Fargo, ND 58103. The listed phone number is (701) 451-4900.

What is Kelly Olson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kelly Olson enrolled in Medicare?

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

Which organization bills Medicare for Kelly Olson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Olson reassigns Medicare benefits to Village Family Service Center (Fargo, ND). The 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 Kelly Olson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Olson accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Kelly Olson 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 Kelly Olson was last updated on February 25, 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.