MR. KENNETH EDGAR OLSON (NPI# 1073708061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073708061 |
| Entity Type | Individual |
| Full Name | MR. KENNETH EDGAR OLSON |
| Practice Address |
4741 Lago Vista Cir San Jose CA 95129-1440 |
| Practice Telephone | 4082435626 |
| Mailing Telephone | 4082435626 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881903417 | Kenneth Olson | Counselor | 324 Gannett Dr Ste 300, South Portland, ME 04106-3269 | 2010-09-30 |
| 1851459614 | Kenneth A Olson | Marriage & Family Therapist | 9033 Baseline Rd, Suite H, Rancho Cucamonga, CA 91730 | 2006-12-05 |
| 1679648018 | Kenneth Michael Olson | Dentist | 393 Dunlap St N Ste 310, Saint Paul, MN 55104-4207 | 2006-11-21 |
| 1407927510 | Kenneth Cornell Olson | Psychiatry & Neurology | 931 Highland Blvd, Ste 3340, Bozeman, MT 59715-6911 | 2006-11-11 |
| 1417044363 | Kenneth J Olson | Chiropractor | 2116 W Galena Blvd, Suite 112, Aurora, IL 60506-3533 | 2006-10-10 |
| 1477576601 | Kenneth Frederick Olson Jr. | Registered Nurse | 1010 4th St, Two Harbors, MN 55616-1200 | 2006-07-26 |
| 1649232877 | Kenneth Michael Olson | Physician Assistant | 915 N Grand Blvd, 11f/jc St. Louis Va, Saint Louis, MO 63106-1621 | 2006-04-04 |
| 1336126275 | Kenneth Olson | Family Medicine | 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 | 2005-12-30 |
| 1467438986 | Kenneth A Olson | Physical Therapist | 3266 Sycamore Rd, Dekalb, IL 60115-9621 | 2005-12-16 |
| 1598746679 | Kenneth R Olson | Family Medicine | 105 E Main St, Waukon, IA 52172-1735 | 2005-11-07 |
| Street Address |
4741 LAGO VISTA CIR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95129-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528535176 | Sunlife Acupuncture Health Center Inc. | Acupuncturist | 6172 Bollinger Rd., San Jose, CA 95129 | 2018-10-31 |
| 1710472642 | Shen Zhang | Acupuncturist | 1072 S De Anza Blvd Ste A108, San Jose, CA 95129 | 2018-06-23 |
| 1023531217 | Rachana Vyas Dds Inc | Clinic/Center | 1002 S Deanza Blvd, #d, San Jose, CA 95129 | 2017-07-20 |
| 1477908119 | Emily O. Perrotta | Marriage & Family Therapist | 1745 Saratoga Ave #204, San Jose, CA 95129 | 2016-05-02 |
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1891065686 | Bobbie Edwards | Behavioral Analyst | 1479 Saratoga Ave, San Jose, CA 95129 | 2012-01-10 |
| 1659640753 | Gail Elizabeth Nabarrete | Social Worker | 780 Saratoga Ave, S310, San Jose, CA 95129 | 2011-12-19 |
| 1891063574 | Elizabeth Duell | Dentist | 4635 Piper Drive, San Jose, CA 95129 | 2011-12-08 |
| 1033486519 | Stephanie Truvonne Hawkins | Family Medicine | 9292 De Anza Blvd, Suite 101, San Jose, CA 95129 | 2011-11-28 |
| 1568607828 | Irina Vaynshteyn | Dentist | 1888 Saratoga Ave Ste 102, San Jose, CA 95129 | 2008-12-15 |
| Find all providers in zip 95129 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1700491800 | Sean Garcia | Counselor | 2959 Carrington Ct, San Jose, CA 95125-4882 | 2020-09-15 |
| 1659985240 | Meng Chang Licensed Marriage and Family Therapist | Counselor | 1174 Lincoln Ave Ste 8, San Jose, CA 95125-3029 | 2020-09-02 |
| 1932721115 | Ellen C Gagne | Counselor | 290 N 2nd St Ste 202, San Jose, CA 95112-4143 | 2020-05-11 |
| 1215566773 | Michelle L. Powers | Counselor | 2 N Market St Ste 500, San Jose, CA 95113-1211 | 2020-04-06 |
| 1841823069 | Ana Gabriella Marquez | Counselor | 298 Bernal Rd # A, San Jose, CA 95119-1809 | 2020-02-17 |
| 1063044741 | Alyssa N Thompson | Counselor | 423 Los Arboles St, San Jose, CA 95111-2344 | 2020-02-10 |
| 1336770288 | Genevieve Altwer | Counselor | 3150 Almaden Expy Ste 223, San Jose, CA 95118-1253 | 2020-01-29 |
| 1477183705 | Benjamin C Jensen | Counselor | 1366 Petal Way, San Jose, CA 95129-4722 | 2020-01-26 |
| 1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.