DR. LOTTIE GRACE OLSON-DAVIDSON PH.D. LPC LCMHC NPI 1528090016

NPI Information

  • NPI: 1528090016
  • Provider Name: DR. LOTTIE GRACE OLSON-DAVIDSON, PH.D., LPC, LCMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4222 FORTUNA CENTER PLZ STE 192
    DUMFRIES, VA
    ZIP 22025
  • Phone: (703) 910-7529

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NPI Details

DR. Lottie Grace Olson-davidson, PH.D., LPC, LCMHC is a mental health counselor in Dumfries, VA. DR. Lottie Grace Olson-davidson, PH.D., LPC, LCMHC NPI is 1528090016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4222 FORTUNA CENTER PLZ STE 192
DUMFRIES, VA
ZIP 22025-515
Phone: (703) 910-7529
Fax: (703) 910-7555

The NPI 1528090016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 5/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health456ALASKANo
2101YM0800XCounselorMental Health4402GEORGIANo
3101YA0400XCounselorAddiction (Substance Use Disorder)C-4523ALASKANo
4101YM0800XCounselorMental HealthNC # 9490NORTH CAROLINANo
5101YM0800XCounselorMental HealthPRC14303DISTRICT OF COLUMBIANo
6101YP2500XCounselorProfessional9384SOUTH CAROLINANo
7101YP2500XCounselorProfessionalCC7371MAINENo
8101YP2500XCounselorProfessionalPC7218MAINENo
9101YM0800XCounselorMental HealthVA #0701005309VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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