| Kimberly Olson, LPC | |
|
W4051 County Road Nn, Elkhorn, WI 53121-4338 | |
| (262) 741-3200 | |
| (262) 741-3217 |
| Full Name | Kimberly Olson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | W4051 County Road Nn, Elkhorn, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558751826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6377-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stateline Mental Health Services | 1658655865 | 13 |
| Entity Name | Stateline Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538560255 PECOS PAC ID: 1658655865 Enrollment ID: O20170308001000 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Olson, LPC 222 Wileman Dr, Edgerton, WI 53534-1642 Ph: (608) 751-1499 | Kimberly Olson, LPC W4051 County Road Nn, Elkhorn, WI 53121-4338 Ph: (262) 741-3200 |
Jacquelyn Rupnik, LPC-WI-4813-125 Counselor Medicare: Accepting Medicare Assignments Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 | |
Mrs. Bonnie L Connolly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Credence Therapy Associates, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308 | |
Linda Flahive Hornak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W4063 Hwy Nn, Elkhorn, WI 53121 Phone: 262-741-1440 Fax: 262-743-2221 | |
Mark Weitkum, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 797 E Geneva St, Elkhorn, WI 53121 Phone: 262-723-1455 Fax: 262-723-1556 | |
Catherine L Griffith, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217 | |
Julie Valler, MS, LPC, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217 | |
Timothy Swanson, MS, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308 |