Mrs Jennifer Shanti Olson, LMFT in Rockford, IL - Medicare Marriage & Family Therapist Provider

Mrs Jennifer Shanti Olson, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Rockford, Illinois. Her current practice location is 8616 Northern Ave, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 332-6000.

Mrs Jennifer Shanti Olson is licensed to practice in Illinois (license number 166000872) 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 1770820128.

Contact Information

	Mrs Jennifer Shanti Olson, LMFT
	8616 Northern Ave, Rockford, IL 61107-5309
	(815) 332-6000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jennifer Shanti Olson
Gender	Female
Speciality	Marriage & Family Therapist
Location	8616 Northern Ave, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770820128
Provider Enumeration Date: 01/04/2013
Last Update Date: 01/04/2013

Medicare PECOS Information:

PECOS PAC ID: 9830541762
Enrollment ID: I20240117000090

Medical Identifiers

Medical identifiers for Mrs Jennifer Shanti Olson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770820128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	166000872 (Illinois)	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. Mrs Jennifer Shanti Olson allows following entities to bill medicare on her behalf.

Entity Name	Aspen Counseling & Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326288994 PECOS PAC ID: 9335376805 Enrollment ID: O20131209001589

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. Mrs Jennifer Shanti Olson 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
Mrs Jennifer Shanti Olson, LMFT 1021 N Mulford Rd, Rockford, IL 61107-3877 Ph: (815) 387-5600	Mrs Jennifer Shanti Olson, LMFT 8616 Northern Ave, Rockford, IL 61107-5309 Ph: (815) 332-6000

Reviews and Comments

Marriage & Family Therapist in Rockford, IL

Allison M Bozovsky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5491 Longvalley Dr, Rockford, IL 61109 Phone: 224-307-6102
Gail Logemann, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 461 N Mulford Rd, Condo #1, Rockford, IL 61107 Phone: 815-395-1141 Fax: 815-395-1117
Michelle Mccabeschafer, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4834
Zella Moore, NP Couples Therapy Medicare: Medicare Enrolled Practice Location: 1639 N Alpine Rd, Suite 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415
Mrs. Sabrina Johnson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6653 Weaver Rd Ste 12, Rockford, IL 61114 Phone: 815-201-2687
Colin Richard Gillette, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 815-399-9700
Emily Gilliam, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 812-332-8003

Mrs Jennifer Shanti Olson, LMFT - Medicare Couples Therapy in Rockford, IL