LARISSA OLSON, LCSW PLLC (NPI# 1205390861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205390861 |
| Entity Type | Organization |
| Organization Name | LARISSA OLSON, LCSW PLLC |
| Practice Address |
690 Sw Higgins Ave Ste B Missoula MT 59803-1433 |
| Mailing Address |
Po Box 16622 Missoula MT 59808-6622 |
| Practice Telephone | 4064939382 |
| Mailing Telephone | 4064939382 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | LARISSA OLSON (OWNER) |
| Authorized Official Telephone | 4062744652 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
690 SW HIGGINS AVE STE B |
| City | MISSOULA |
| State | MT |
| Zip Code | 59803-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138127 | Larissa Olson | Social Worker | 690 Sw Higgins Ave Ste B, Missoula, MT 59803-1433 | 2019-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| 1225381205 | Missoula Valley Medical | Durable Medical Equipment & Medical Supplies | 3295 Cathy Ct, Missoula, MT 59803 | 2012-10-16 |
| 1790054336 | Jeffrey Michael Engel | Chiropractor | 1001 Sw Higgins Ave Ste 102, Missoula, MT 59803 | 2011-12-28 |
| 1245483338 | Carl Sivage | Pharmacist | 6035 Miller Creek Road, Missoula, MT 59803 | 2008-11-03 |
| 1356542161 | Patricia A. Lincoln | Counselor | 157 Meadowlark Ct, Missoula, MT 59803 | 2007-05-30 |
| 1295949493 | Rich Danielson | Physical Therapist | 3031 S. Russell, Suite #5, Missoula, MT 59803 | 2007-05-09 |
| 1720208226 | Cole L Macpherson | Dentist | 901 Sw Higgins, Missoula, MT 59803 | 2007-04-26 |
| 1336274109 | Robert James Whalen | Dentist | 690 Sw Higgins, Suite G, Missoula, MT 59803 | 2007-02-22 |
| 1679628671 | Pamela Marie Clausen | Counselor | 1001 Sw Higgins Ave, Suite 206, Missoula, MT 59803 | 2007-01-23 |
| 1255496386 | Kathleen Schroeder Roth | Dentist | 725 Sw Higgins Ave, Missoula, MT 59803 | 2006-12-27 |
| Find all providers in zip 59803 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641640 | Michelle Moles Lcsw Lac | Community/Behavioral Health | 101 E Broadway St Ste 602, Missoula, MT 59802-4594 | 2017-07-17 |
| 1114160504 | Kristen Kallemeyn | Community/Behavioral Health | 511 Rollins St, Missoula, MT 59801-3720 | 2009-04-14 |
| 1649390881 | Friends To Youth Inc. | Community/Behavioral Health | 1515 E Broadway St, Missoula, MT 59802-4929 | 2007-03-30 |
| 1912079328 | Western Montana Mental Health Center | Community/Behavioral Health | 1321 Wyoming St, Missoula, MT 59801-1725 | 2006-11-14 |
| 1134757198 | Ideal Balance Pllc | Community/Behavioral Health | 2685 Palmer St Ste D, Missoula, MT 59808-1709 | 2020-03-27 |
| 1720569213 | Mitch Guerette Lcsw LLC | Community/Behavioral Health | 1001 Sw Higgins Ave Ste 206, Missoula, MT 59803-1340 | 2018-08-23 |
| 1518409846 | Simply Assessments | Community/Behavioral Health | 2798 Meriwether St, Missoula, MT 59803-2934 | 2016-11-17 |
| 1720539745 | Valeo Behavioral Health, LLC | Community/Behavioral Health | 1600 North Ave W Ste 106, Missoula, MT 59801-5500 | 2016-10-14 |
| 1306393194 | Dana Eisenberg, Lcsw Counseling and Consultation, LLC | Community/Behavioral Health | 528 Cleveland St, Missoula, MT 59801-3743 | 2016-09-08 |
| 1912359639 | Wahlberg Psychology Office, PC | Community/Behavioral Health | 2831 Fort Missoula Rd, Suite 201, Missoula, MT 59804-7419 | 2016-07-06 |
| Find all providers in MISSOULA | ||||
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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.