Kelly Olson, | |
1201 25th St S, Fargo, ND 58103-2311 | |
(701) 451-4900 | |
(651) 925-0057 |
Full Name | Kelly Olson |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1201 25th St S, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790804409 | NPI | - | NPPES |
HP51290 | Other | MN | HEALTH PARTNERS |
245K1OL | Other | MN | BCBS MN |
3100200502 | Other | MN | PRIMEWEST HEALTH |
56560-B005 | Other | MN | TRIWEST |
727623100 | Medicaid | MN | |
9398252 | Other | MN | PHCS |
2352433 | Other | MN | AMERICA'S PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 1074 (Minnesota) | Secondary |
106H00000X | Marriage & Family Therapist | 2009-023 (North Dakota) | Primary |
Entity Name | Village Family Service Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568492353 PECOS PAC ID: 7517857428 Enrollment ID: O20040316000782 |
Mailing Address | Practice Location Address |
---|---|
Kelly Olson, 1201 25th St S, Fargo, ND 58103-2311 Ph: (701) 451-4900 | Kelly Olson, 1201 25th St S, Fargo, ND 58103-2311 Ph: (701) 451-4900 |
Cynthia Johnson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr. S. Ste H, Fargo, ND 58103 Phone: 218-329-3552 Fax: 701-403-8003 | |
Clara A Erickson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1330 Page Dr S, Ste 102a, Fargo, ND 58103 Phone: 701-446-6500 | |
Mrs. Heather Elaine Bjur, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1112 Nodak Dr S, Fargo, ND 58103 Phone: 701-232-6224 Fax: 701-232-4687 | |
William Noel Ahlfeldt, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 102 25th Ave N, Fargo, ND 58102 Phone: 701-412-6953 | |
Victoria Zak, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-234-2000 | |
Amanda Bahr, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1128 Westrac Dr S Ste A, Fargo, ND 58103 Phone: 701-561-1177 | |
Mary K Uong-kaale, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1201 25th St S, Fargo, ND 58103 Phone: 701-451-4900 |