MR. JEREMIAH LEE OLSON CSAC, ICS
NPI 1952455800
Counselor - Addiction (Substance Use Disorder) in Winnebago, WI
NPI Status: Active since January 22, 2007
Contact Information
1300 SOUTH DRIVE
WINNEBAGO, WI
ZIP 54985
Phone: (920) 235-4910
Fax: (920) 237-2043
- Individual
- Male
- Counselor
- Addiction (Substance Use Disorder)
About JEREMIAH OLSON
This page provides the complete NPI Profile along with additional information for Jeremiah Olson, a provider established in Winnebago, Wisconsin with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1952455800 assigned on January 2007. The practitioner's primary taxonomy code is 101YA0400X with license number 11698 (WI). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1952455800
- Provider Name
- MR. JEREMIAH LEE OLSON CSAC, ICS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1300 SOUTH DRIVE WINNEBAGO, WI 54985
- Location Phone
- (920) 235-4910
- Location Fax
- (920) 237-2043
- Mailing Address
- 1300 SOUTH DRIVE WINNEBAGO, WI 54985
- Mailing Phone
- (920) 235-4910
- Mailing Fax
- (920) 237-2043
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-22-2007
- Last Update Date
- 10-28-2010
- Code Navigator
A Substance Abuse or Addiction Counselor like Jeremiah Olson advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 11698
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39171000 | MEDICAID (05) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 5 | 2 | 4 | 5 | 5 | 8 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 10 | 2 | 8 | 5 | 10 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 0 + 2 + 8 + 5 + 1 + 0 + 8 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1952455800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225026990 | ALEJANDRO A EISMA MD Individual | Internal Medicine | 1300 SOUTH DRIVE WINNEBAGO MENTAL HEALTH INSTITUTE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1164516506 | STATE OF WISCONSIN Organization | Psychiatric Hospital | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1255451688 | CLIFFORD K STEPHENS PH.D Individual | Psychologist (Clinical) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1962626317 | KENT M BERNEY PHD Individual | Psychologist | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1669627089 | ANTHONY M LICHTFUSS LCSW Individual | Social Worker (Clinical) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1225320005 | KONSTANTIN A MIKHEYEV DO Individual | Family Medicine | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1467494211 | DR. MARSHALL JOHN BALES M.D. Individual | Psychiatry & Neurology (Forensic Psychiatry) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1417189135 | KEVIN K KLEIN NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1093702383 | LOUIS M FULTON MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1300 SOUTH DRIVE WINNEBAGO MENTAL HEALTH INFORMATION WINNEBAGO, WI 54985 (920) 235-4910 |
| 1992028948 | KAYE ZWIACHER MD Individual | Psychiatry & Neurology (Psychiatry) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1598984346 | DR. KAYLA M POPE MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1487257150 | CHARLENE A CAIN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1538883475 | MRS. KATELYN LOIS LENZ PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1366852063 | CYNTHIA D. STOVER PA-C Individual | Physician Assistant | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1649336462 | RANDY M KERSWILL M.D. Individual | Psychiatry & Neurology (Neurology) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1669505996 | MS. MARGARET LEHNERT M..D. Individual | Dentist (General Practice) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1750498077 | DR. NIKOLO C QUINONES MD Individual | Internal Medicine | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1780740514 | WILBUR SARINO M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (920) 235-4910 |
| 1265832497 | JENNIFER PARNELL PA-C Individual | Physician Assistant | 1300 SOUTH DRIVE OSHKOSH, WI 54985 (920) 235-4910 |
| 1326442070 | DR. KIMBERLY K WALKER-DANIELS DNP-PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1300 SOUTH DRIVE WINNEBAGO, WI 54985 (715) 204-4260 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952455800, enumerated in the NPI registry as an "individual" on January 22, 2007
The provider is located at 1300 South Drive Winnebago, Wi 54985 and the phone number is (920) 235-4910
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.