JACOB DANIEL OLSON – Marriage & Family Therapist, NPI 1427700046

JACOB DANIEL OLSON is a healthcare provider. based in Mora, Minnesota. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 4026 (MN). The NPI Number for JACOB DANIEL OLSON is 1427700046

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JACOB DANIEL OLSON
NPI
1427700046
Phone
(320) 679-2438
Address
820 HOWE AVE STE 108
Enumeration Date
25 January 2022
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206792438
Graduation Year
2019 (7 years ago)
PAC ID
8123549342
Group Practice PAC ID
9537606967
Professional Enrollment ID
I20250304003372
Address ID
MN550514412MO900XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

981 MARRIAGE AND FAMILY THERAPIST in MN

Provider Addresses for JACOB DANIEL OLSON

  • 820 HOWE AVE STE 108

    MORA, MN 550511766

    Phone: (320) 679-2438

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250304003372IMarriage And Family TherapistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537606967View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Marriage And Family TherapistMN

Reviews

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Frequently asked questions

How do payers reference JACOB DANIEL OLSON?
For JACOB DANIEL OLSON, use NPI 1427700046 as the unique 10-digit identifier.
Is JACOB DANIEL OLSON still an active registrant?
JACOB DANIEL OLSON carries an active NPI according to the public dataset.
What expertise is attributed to JACOB DANIEL OLSON?
JACOB DANIEL OLSON's specialty line reads Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Is JACOB DANIEL OLSON located near Mora?
JACOB DANIEL OLSON currently maps to Mora, Minnesota in this extract.
When was this NPI issued?
Enumeration for JACOB DANIEL OLSON is noted as January 25, 2022 where the registry provides it.

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