LORI L OLLENDICK (NPI# 1639513401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639513401 |
| Entity Type | Individual |
| Full Name | LORI L OLLENDICK |
| Other Name | LORI L BRUFLODT |
| Credential | LMHC |
| Practice Address |
805 Century Dr Ste 5 Dubuque IA 52002-3771 |
| Practice Telephone | 5635905998 |
| Practice Fax Number | 5637267384 |
| Mailing Telephone | 5635905998 |
| Mailing Fax Number | 5637267384 |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1639513401 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2005 Asbury Rd, Dubuque, IA 520013042 | 5635837357 | 8882433455 |
| Street Address |
805 CENTURY DR STE 5 |
| City | DUBUQUE |
| State | IA |
| Zip Code | 52002-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699094011 | Jessica Leigh Hanson | Counselor | 805 Century Dr Ste 5, Dubuque, IA 52002-3771 | 2010-05-25 |
| 1598325698 | A Beautiful Mind, Inc | Nurse Practitioner | 805 Century Dr Ste 5, Dubuque, IA 52002-3771 | 2019-06-19 |
| 1003470923 | Earlene Marie Angell | Nurse Practitioner | 805 Century Dr Ste 5, Dubuque, IA 52002-3771 | 2019-04-25 |
| 1578859112 | Grace S Ashbrook | Counselor | 805 Century Dr Ste 5, Dubuque, IA 52002 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725193 | Rebecca Marie Fitzpatrick | Pharmacist | 7425 Chavenelle Rd Ste 300, Dubuque, IA 52002 | 2018-03-29 |
| 1598020943 | Steven Matthew Leifker | Dentist | 1645 John F. Kennedy Rd, Dubuque, IA 52002 | 2012-07-11 |
| 1922364280 | Susan A Neuser | Pharmacist | 74 25 Chavenelle Rd, Dubuque, IA 52002 | 2012-04-11 |
| 1720308240 | Yakov S Zagalskiy | Family Medicine | 1500 Associates Drive, Dubuque, IA 52002 | 2010-06-07 |
| 1689904690 | Meryl Rae Welsh | Counselor | 2255 Jkf Road, Dubuque, IA 52002 | 2010-01-14 |
| 1982864047 | Joel Gregory Thielen | Acupuncturist | 1880 Radford Road, Dubuque, IA 52002 | 2008-06-12 |
| 1609052323 | Jason E Meyer Physical Therapy PC | Clinic/Center | 2300 John F Kennedy Rd, Dubuque, IA 52002 | 2008-01-11 |
| 1508053828 | Assisted Living Concepts Inc | Assisted Living Facility | 2700 Matthew John Drive, Dubuque, IA 52002 | 2007-10-01 |
| 1588863252 | Miracle Ear | Audiologist-Hearing Aid Fitter | 555 Jf Kennedy Road, Dubuque, IA 52002 | 2007-07-13 |
| 1639383599 | Michelle Ann Gardner | Optometrist | 808 Wacker Dr, Dubuque, IA 52002 | 2007-05-10 |
| Find all providers in zip 52002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083183222 | Riley Kate Andrews | Counselor | 1770 Central Ave, Dubuque, IA 52001-3607 | 2018-11-16 |
| 1508370198 | David Shane Smith | Counselor | 2485 Maryville Dr, Dubuque, IA 52001-1663 | 2017-11-19 |
| 1770941551 | Shana Hackett | Counselor | 200 Mercy Dr Ste 200, Dubuque, IA 52001-7392 | 2016-02-08 |
| 1669874343 | Benjamin Mathew | Counselor | 2570 Asbury Rd, Dubuque, IA 52001-3044 | 2014-09-24 |
| 1356776264 | Nicole Makovec | Counselor | 2621 Van Buren Ave, Dubuque, IA 52001-5533 | 2013-09-10 |
| 1861733206 | Megan Elizabeth Amos | Counselor | 1545 Associates Dr Ste 105, Dubuque, IA 52002-2299 | 2013-03-11 |
| 1992055495 | Carol Ann Lippe | Counselor | 799 Main St Ste 230, Dubuque, IA 52001-6825 | 2012-09-12 |
| 1245586544 | Amber M Teubert | Counselor | 799 Main St Ste 350, Dubuque, IA 52001-6825 | 2012-07-24 |
| 1093090623 | Ashlee Jo Timmerman | Counselor | 3435 Asbury Rd, Dubuque, IA 52002-2848 | 2011-10-14 |
| 1356623763 | Amy Kristina Crow Sunleaf | Counselor | 799 Main St., Ste. 110, Dubuque, IA 52001-6825 | 2011-09-12 |
| Find all providers in DUBUQUE | ||||
Please comment or provide details below to improve the information on LORI L OLLENDICK.
| 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.