Healthcare Provider Details

I. General information

NPI: 1700138344
Provider Name (Legal Business Name): ELISSA E OLSON LIMHP,LMHP,LADC,CPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1367 33RD AVE
COLUMBUS NE
68601-4843
US

IV. Provider business mailing address

PO BOX 454
COLUMBUS NE
68602-0454
US

V. Phone/Fax

Practice location:
  • Phone: 402-416-1348
  • Fax:
Mailing address:
  • Phone: 402-416-1348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1845
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1140
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3715
License Number StateNE
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number855
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: