Dr Lottie Grace Olson-davidson, PHD, LPC, LCMHC in Dumfries, VA

Dr Lottie Grace Olson-davidson, PHD, LPC, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Dumfries, Virginia. Her current practice location is 4222 Fortuna Center Plz Ste 192, Dumfries, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 910-7529.

Dr Lottie Grace Olson-davidson is licensed to practice in Virginia (license number VA #0701005309) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528090016.

Contact Information

	Dr Lottie Grace Olson-davidson, PHD, LPC, LCMHC
	4222 Fortuna Center Plz Ste 192, Dumfries, VA 22025-1515
	(703) 910-7529
	(703) 910-7555

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lottie Grace Olson-davidson
Gender	Female
Speciality	Counselor - Mental Health
Location	4222 Fortuna Center Plz Ste 192, Dumfries, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528090016
Provider Enumeration Date: 07/07/2006
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 0244761757
Enrollment ID: I20241008000711

Medical Identifiers

Medical identifiers for Dr Lottie Grace Olson-davidson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528090016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	456 (Alaska)	Secondary
101YM0800X	Counselor - Mental Health	4402 (Georgia)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	C-4523 (Alaska)	Secondary
101YM0800X	Counselor - Mental Health	NC # 9490 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	PRC14303 (District Of Columbia)	Secondary
101YP2500X	Counselor - Professional	9384 (South Carolina)	Secondary
101YP2500X	Counselor - Professional	CC7371 (Maine)	Secondary
101YP2500X	Counselor - Professional	PC7218 (Maine)	Secondary
101YM0800X	Counselor - Mental Health	VA #0701005309 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lottie Grace Olson-davidson allows following entities to bill medicare on her behalf.

Entity Name	Myspectrum Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174029359 PECOS PAC ID: 5799027843 Enrollment ID: O20190422001369

Entity Name	Grace Counseling & Mediation Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144476847 PECOS PAC ID: 5991236408 Enrollment ID: O20241008000435

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lottie Grace Olson-davidson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Lottie Grace Olson-davidson, PHD, LPC, LCMHC 4222 Fortuna Center Plz Ste 192, Dumfries, VA 22025-1515 Ph: (703) 910-7529	Dr Lottie Grace Olson-davidson, PHD, LPC, LCMHC 4222 Fortuna Center Plz Ste 192, Dumfries, VA 22025-1515 Ph: (703) 910-7529

Reviews and Comments

Counselor in Dumfries, VA

Ricardo Hicks, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4222 Fortuna Center Plz, Dumfries, VA 22025 Phone: 571-394-7833
Kuan-i Wu, MS, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 17606 Dumfries Rd, Suite 204, Dumfries, VA 22026 Phone: 703-221-1263
Peggy A Haun, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17932 Fraley Blvd Ste 240, Dumfries, VA 22026 Phone: 571-636-1800
Kara Sprinkle, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17932 Fraley Blvd Ste 240, Dumfries, VA 22026 Phone: 571-636-1800
Yomarie E Cruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18107 Red Mulberry Rd, Dumfries, VA 22026 Phone: 571-778-9284
Willetta M. Wilson, BLPC, LMFT, LPC, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3775 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-303-0039
Mrs. Ariel Marie Meaney, RESIDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 17932 Fraley Blvd Ste 240, Dumfries, VA 22026 Phone: 571-636-1800 Fax: 571-636-1900

Dr Lottie Grace Olson-davidson, PHD, LPC, LCMHC - Medicare Counselor in Dumfries, VA