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MR. JEREMIAH LEE OLSON CSAC, ICS
NPI 1952455800
Counselor - Addiction (Substance Use Disorder) in Winnebago, WI

Active since January 22, 2007
1300 SOUTH DRIVE, WINNEBAGO, WI 54985(920) 235-4910(920) 237-2043 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeremiah Lee Olson Csac, Ics NPPES

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

MR. JEREMIAH LEE OLSON CSAC, ICS (NPI 1952455800) is an individual addiction (substance use disorder) provider in Winnebago, Wisconsin, licensed in Wisconsin (11698) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1952455800
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JEREMIAH LEE OLSONCredential: CSAC, ICS
Location Address1300 SOUTH DRIVEWinnebago, WI 54985-0009
Mailing Address1300 South DriveWinnebago, WI 54985-0009 · (920) 235-4910 · Fax (920) 237-2043
Phone(920) 235-4910
Fax(920) 237-2043
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateOctober 28, 2010
✔ NPI 1952455800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 11698
1300 SOUTH DRIVE, Winnebago, WI 54985
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Other Identifiers 1

Medicaid39171000WI

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.

LOUIS M FULTON MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INFORMATION
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
JESSE ELIZABETH CHILDS PA-C
Physician Assistant (Medical)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
STATE OF WISCONSIN
Psychiatric Hospital
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
DR. KIMBERLY SUE HOENECKE D.O.
Psychiatry & Neurology (Psychiatry)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
ALEJANDRO A EISMA MD
Internal Medicine
1300 SOUTH DRIVE, WINNEBAGO MENTAL HEALTH INSTITUTE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
KONSTANTIN A MIKHEYEV DO
Family Medicine
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
KARIN ZODROW
Nurse Practitioner (Family)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910
CLIFFORD K STEPHENS PH.D
Psychologist (Clinical)
1300 SOUTH DRIVE
WINNEBAGO, WI 54985
Winnebago County (920) 235-4910

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 Jeremiah Olson's NPI number?

The NPI number for Jeremiah Olson is 1952455800. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Jeremiah Olson located?

Jeremiah Olson practices at 1300 South Drive, Winnebago, WI 54985. The listed phone number is (920) 235-4910.

What is Jeremiah Olson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeremiah Olson was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.