MICHAEL JAMES OLSEN (NPI# 1134780042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134780042 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES OLSEN |
| Other Name | TISHA MARIE OLSEN |
| Credential | PEER SUPPORT |
| Practice Address |
344 E 100 S Ste 301300 Salt Lake City UT 84111-1700 |
| Practice Telephone | 8014283475 |
| Mailing Telephone | 8014283475 |
| Enumeration Date | 2019-06-23 |
| Last Update Date | 2019-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942748165 | Michael Scott Olsen | Student in an Organized Health Care Education/Training Program | 1286 S 1175 E, Clearfield, UT 84015-1777 | 2017-02-08 |
| 1740560275 | Michael Olsen | Pharmacist | 3415 Brookside Rd, Stockton, CA 95219-1785 | 2011-08-29 |
| 1215907886 | Michael Stewart Olsen | Social Worker | 361 E 1200 S, Suite 201, Orem, UT 84058-6904 | 2006-01-25 |
| 1558620096 | Michael S Olsen | Marriage & Family Therapist | 818 Commercial St, Ste 307, Astoria, OR 97103-4553 | 2012-05-03 |
| 1144423526 | Michael Scott Olsen | Emergency Medicine | Osf Saint Francis Medical Ctr, 530 Ne Glen Oak Avenue, Peoria, IL 61637 | 2007-06-06 |
| 1841400066 | Michael P. Olsen | Dentist | 1008 Main St, Onalaska, WI 54650-2741 | 2007-05-23 |
| 1184768913 | Michael Donovan Olsen | Marriage & Family Therapist | 535 S 2nd Ave, Covina, CA 91723-3013 | 2007-02-16 |
| 1356437891 | Michael Olsen | Family Medicine | 379 North 500 West, Suite 1a, Vernal, UT 84078 | 2006-10-04 |
| 1710990817 | Michael M Olsen | Family Medicine | 335 Highland Ave, Cheshire, CT 06410-2549 | 2006-08-13 |
| 1336180454 | Michael Stewart Olsen | Internal Medicine | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2006-06-09 |
| Street Address |
344 E 100 S STE 301300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84111-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
| 1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
| 1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
| 1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
| 1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
| 1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
| 1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
| Find all providers in zip 84111 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819600 | Devin J Morrison | Peer Specialist | 230 W 200 S Unit 142, Salt Lake City, UT 84110-6006 | 2020-10-23 |
| 1518579077 | Henry Matthews | Peer Specialist | 474 N Grant St, Salt Lake City, UT 84116-2726 | 2020-08-17 |
| 1659836393 | Brittney Emi Vaovasa | Peer Specialist | 252 W Brooklyn Ave, Salt Lake City, UT 84101-3024 | 2019-02-06 |
| 1306348263 | Kurt Kyle Landenberger | Peer Specialist | 2200 S State St Fl 2, Salt Lake City, UT 84115-2724 | 2018-03-06 |
| 1922609320 | Teri Christensen | Peer Specialist | 230 W 200 S # 142, Salt Lake City, UT 84101-1337 | 2020-11-03 |
| 1821698713 | Kim Katherine Stephens | Peer Specialist | 230 W 200 S # 142, Salt Lake City, UT 84101-1337 | 2020-10-29 |
| 1225638364 | Anna Elizabeth Dees | Peer Specialist | 230 W 200 S Ste 142, Salt Lake City, UT 84101-1337 | 2020-10-28 |
| 1124628268 | Amber Wilkins I | Peer Specialist | 230 W 200 S # 142, Salt Lake City, UT 84101-1337 | 2020-10-28 |
| 1811596885 | Kaylie A Larsen | Peer Specialist | 230 W 200 S # 142, Salt Lake City, UT 84101-1337 | 2020-10-21 |
| 1386243244 | Madyson Lynn Pomeroy | Peer Specialist | 230 W 200 S # 142, Salt Lake City, UT 84101-1337 | 2020-10-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84111 |
Please comment or provide details below to improve the information on MICHAEL JAMES OLSEN.
| 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.