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Active NPI 1831677103 Individual Practitioner Male Practitioner

Mitchell Lee Olson , LPCC

Counselor - Mental Health • Spring Park, MN

Professional Overview & Biography Verified Profile Summary

Mitchell Olson, LPCC is a registered healthcare professional specializing in Counselor - Mental Health in Spring Park, MN. Practice services are available at 4154 SHORELINE DR STE 202 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4154 Shoreline Dr Ste 202

Spring Park, MN 553845606

Telephone 6125629880
Associated Practice Facility / Clinic
🏢 Mindfully Healing Inc. Facility NPI 1235757600

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Spring Park, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Spring Park, MN (4190 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-17
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Secondary Practice Locations

255 Mn-7 E, Hutchinson, Mn

Hutchinson, MN 553505538

Phone: 7632450990

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Ashley Wurdeman , LMFT

Marriage & Family Therapist

NPI 1750063301

Licensed Marriage and Family Therapist

Kelly Tibbetts , LICSW

Social Worker - Clinical

NPI 1992350367

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 17, 2020

Registered at 4154 SHORELINE DR STE 202, SPRING PARK, MN 553845606 (Tel: 6125629880)

📍
Updated Practice Location July 11, 2020

Registered at 4144 SHORELINE DR, SPRING PARK, MN 553849648 (Tel: 6125629880)

👤
Provider Name / Credentials Updated July 11, 2020

Recorded as MITCHELL OLSON, LPCC

NPI Profile Active July 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2018

Registered at 255 MN-7 E, HUTCHINSON, MN, HUTCHINSON, MN 553505538 (Tel: 7632450990)

📍
Updated Business Mailing Address July 30, 2018

Registered at 1074 LAKEWOOD CIR, WACONIA, MN 553872500 (Tel: 7632450990)

👤
Provider Name / Credentials Updated July 30, 2018

Recorded as MITCHELL OLSON, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2018

Counselor

🟢
Initial NPI Registration & Enumeration July 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831677103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2018
Last Update: July 17, 2020
Sole Proprietor: Yes

Mailing Address

1074 Lakewood Cir

Waconia, MN 553872500

Phone: 7632450990

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.