Healthcare Provider Details

I. General information

NPI: 1386416295
Provider Name (Legal Business Name): KATHERINE ERIN OLNEY LCPC, LPCC, LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 E HOLDING AVE PO BOX 201
WAKE FOREST NC
27588-0837
US

IV. Provider business mailing address

224 E HOLDING AVE PO BOX 201
WAKE FOREST NC
27588-0837
US

V. Phone/Fax

Practice location:
  • Phone: 919-443-5980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20749
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20622
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.017850
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: