Healthcare Provider Details

I. General information

NPI: 1770248726
Provider Name (Legal Business Name): JAMES DAYTON OLSEN CMHC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5965 S 900 E STE 100
MURRAY UT
84121-1850
US

IV. Provider business mailing address

827 SPRING VALLEY DR
FALMOUTH VA
22405-1910
US

V. Phone/Fax

Practice location:
  • Phone: 801-639-9146
  • Fax:
Mailing address:
  • Phone: 540-424-8808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701010951
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701010951.
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number142464346004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: