SHAUNDRA OLSON (MA, LPCC) – Mental Health Counselor, NPI 1942962097

SHAUNDRA OLSON (MA, LPCC) is a healthcare provider. based in Burnsville, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA, LPCC. They hold a License No. 3022 (MN). The NPI Number for SHAUNDRA OLSON (MA, LPCC) is 1942962097

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
SHAUNDRA OLSON (MA, LPCC)
NPI
1942962097
Phone
Not provided
Address
2970 JUDICIAL RD STE 100
Enumeration Date
6 October 2021
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9522248990
Graduation Year
2019 (7 years ago)
PAC ID
5597282020
Group Practice PAC ID
3476076712
Professional Enrollment ID
I20250508001199
Address ID
MN553377822BU2970XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for SHAUNDRA OLSON (MA, LPCC)

  • 2970 JUDICIAL RD STE 100

    BURNSVILLE, MN 553377822

    Phone:

    Type: Mailing

  • 4230 MEGHAN LN

    EAGAN, MN 551223021

    Phone:

    Type: Mailing

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: 2025-05-08

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
I20250508001199IMental Health CounselorMNTBD

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 55337)

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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: 3476076712View full group profile
NameSpecialtyState
Clinical PsychologistMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for SHAUNDRA OLSON (MA, LPCC)?
SHAUNDRA OLSON (MA, LPCC) — NPI 1942962097 — is the standard way to identify this listing.
Can I rely on SHAUNDRA OLSON (MA, LPCC) being an active provider?
As of the registry snapshot, SHAUNDRA OLSON (MA, LPCC) is marked active.
What is SHAUNDRA OLSON (MA, LPCC)'s primary classification?
Mental Health Counselor is the headline specialty for SHAUNDRA OLSON (MA, LPCC) here. Clinical services aligned with this taxonomy classification.
Does SHAUNDRA OLSON (MA, LPCC) list a practice location?
Patients near Burnsville, Minnesota may find SHAUNDRA OLSON (MA, LPCC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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