ANDREA OLSON (NPI# 1225377310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225377310 |
| Entity Type | Individual |
| Full Name | ANDREA OLSON |
| Credential | M.S. CCC-SLP |
| Practice Address |
1931 Center St Berkeley CA 94704-1105 |
| Practice Telephone | 5106669552 |
| Practice Fax Number | 5106660987 |
| Mailing Telephone | 5106669552 |
| Mailing Fax Number | 5106660987 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AC BHCS 00 | AC BHCS 00 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134697972 | Andrea A Olson | Registered Nurse | 1020 N Appleton St, Appleton, WI 54911-4403 | 2018-11-09 |
| 1336688621 | Andrea Olson | Occupational Therapist | 4105 Lantana Rd, Crossville, TN 38572-1749 | 2017-02-20 |
| 1528324860 | Andrea M Olson | Occupational Therapist | 211 S Whitney Way, Madison, WI 53705-4605 | 2012-04-11 |
| 1699393983 | Andrea Olson | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2020-07-13 |
| 1053941815 | Andrea Olson | Case Manager/Care Coordinator | 440 Amherst St, Nashua, NH 03063-1225 | 2020-01-21 |
| 1104276005 | Andrea Olson I | Massage Therapist | 1222 Se Division St, Portland, OR 97202-1017 | 2016-06-21 |
| 1316304769 | Andrea Lee Fry Olson | Nurse Practitioner | 2728 Sunset Blvd Ste 300, West Columbia, SC 29169-4815 | 2016-01-15 |
| 1588033476 | Andrea Danielle Olson | Social Worker | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2015-09-21 |
| 1033538210 | Andrea Olson | Social Worker | 5334 Williams Dr, Roscoe, IL 61073-7320 | 2014-04-15 |
| 1700194925 | Andrea Nicole Olson | Dietitian, Registered | 1415 S Division St, Salisbury, MD 21804-7291 | 2010-09-22 |
| Street Address |
1931 CENTER ST |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992846026 | Valerie Ann Fellows | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2007-02-09 |
| 1033724034 | Cole Matthew Bienek | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2020-09-15 |
| 1053922922 | Michael Anthony Kirkpatrick | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2020-08-13 |
| 1578199972 | Duc-trung Huynh Tong | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2020-03-17 |
| 1548802804 | George Francis Jones | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2019-10-08 |
| 1053962951 | Lorenzo Mora | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2019-09-23 |
| 1083264311 | Stephen Pocock | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2019-09-18 |
| 1467001537 | Samuel J Mcfarland | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2019-09-10 |
| 1801445408 | Christina Baird | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2019-09-05 |
| 1063064186 | Jason Mueller | Counselor | 1931 Center St, Berkeley, CA 94704-1105 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275152324 | Nicholas Michael Jester | Counselor | 1610 Milvia St Apt 2, Berkeley, CA 94709-2047 | 2020-04-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1629429790 | Pearl Ortiz | Counselor | 1280 University Ave Apt D, Berkeley, CA 94702-1762 | 2016-06-29 |
| 1417352634 | Aous Jarrar | Counselor | 1931 Center St., Berkeley, CA 94704-1105 | 2014-10-30 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1699192369 | Elaine Gram | Counselor | 1942 University Ave Ste 208, Berkeley, CA 94704-1073 | 2014-03-19 |
| 1285078378 | Verona Lyn | Counselor | 1931 Center Street, Berkeley, CA 94704 | 2013-04-19 |
| 1407167117 | Preston Vargas | Counselor | 3051 Adeline St, Berkeley, CA 94703-2523 | 2010-06-28 |
| 1598092462 | Justin Paul Phillips | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2009-11-12 |
| 1679778864 | Ben C Pryor | Counselor | Ben Pryor 998 Virginia St, Berkeley, CA 94710-1851 | 2007-06-18 |
| Find all providers in BERKELEY | ||||
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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.