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MS. KRISTIN ANN OLSEN LPCC, LADC
NPI 1861152027
Counselor - Mental Health in Rochester, MN

Active since December 29, 2021PECOS Enrolled
300 11TH AVE NW STE 112, ROCHESTER, MN 55901(507) 215-8260(507) 208-7737 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2024, Dec 29, 2021 (2 updates tracked since 2021).

About Ms. Kristin Ann Olsen Lpcc, Ladc NPPES

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

MS. KRISTIN ANN OLSEN LPCC, LADC (NPI 1861152027) is an individual mental health provider in Rochester, Minnesota, licensed in Minnesota (4272) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861152027
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KRISTIN ANN OLSENCredential: LPCC, LADC
Location Address300 11TH AVE NW STE 112Rochester, MN 55901-2739
Mailing Address1884 22nd St NwRochester, MN 55901-0618 · (507) 215-8260 · Fax (507) 208-7737
Phone(507) 215-8260
Fax(507) 208-7737
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 29, 2021
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1861152027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 4272
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306129 (MN)
300 11TH AVE NW STE 112, Rochester, MN 55901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kristin Ann Olsen Lpcc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163989898
PECOS Enrollment IDI20260812002514
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 Kristin Olsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Service Rochester, Inc
3.0 mi
Mental Health (Including Community Mental Health Center)
4600 18TH AVE NW
Rochester, MN 55901
  • Reassigned Medicare billing, Minnesota enrollment
  • 15 clinicians in this Medicare group
NPI 1275746083 (507) 287-2010

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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN THEODORE GUDAHL LADC
Counselor (Addiction (Substance Use Disorder))
300 11TH AVE NW STE 112
ROCHESTER, MN 55901
Olmsted County (507) 216-6500
NEREIDA VILLEGAS LADC
Counselor (Addiction (Substance Use Disorder))
300 11TH AVE NW STE 112
ROCHESTER, MN 55901
Olmsted County (507) 208-0400
MISS MEGAN MARIE WILGENBUSCH LADC
Counselor (Addiction (Substance Use Disorder))
300 11TH AVE NW STE 112
ROCHESTER, MN 55901
Olmsted County (507) 295-4907
ALEXANDRAEANA THOSTENSON
Counselor (Addiction (Substance Use Disorder))
300 11TH AVE NW STE 112
ROCHESTER, MN 55901
Olmsted County (225) 507-0400

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 Kristin Olsen's NPI number?

The NPI number for Kristin Olsen is 1861152027. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Where is Kristin Olsen located?

Kristin Olsen practices at 300 11th Ave NW Ste 112, Rochester, MN 55901. The listed phone number is (507) 215-8260.

What is Kristin Olsen's specialty?

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

Is Kristin Olsen enrolled in Medicare?

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

Which organization bills Medicare for Kristin Olsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Olsen reassigns Medicare benefits to Family Service Rochester, Inc (Rochester, MN). 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 Kristin Olsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristin Olsen was last updated on July 26, 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.