DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC) – Mental Health Counselor, NPI 1528090016

DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC) is a healthcare provider. based in Woodbridge, Virginia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PH.D., LPC, LCMHC. They hold a License No. 456 (AK). The NPI Number for DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC) is 1528090016

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC)
NPI
1528090016
Phone
(706) 910-4588
Address
2875 CHEVOIT HILL CT
Enumeration Date
7 July 2006
Last Update Date
20 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7039107529
Graduation Year
2009 (17 years ago)
PAC ID
0244761757
Professional Enrollment ID
I20241008000711
Address ID
VA220251515DU4222XPLZX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience98
Completeness75
Years active:19State licenses:9Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC)

  • 2875 CHEVOIT HILL CT

    WOODBRIDGE, VA 221915117

    Phone: (706) 910-4588

    Type: Mailing

  • 4222 FORTUNA CENTER PLZ STE 192

    DUMFRIES, VA 220251515

    Phone: (703) 910-7529

    Fax: (703) 910-7555

    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: 2024-10-08

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
I20241008000711IMental Health CounselorVATBD

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 22191)

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Reviews

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Frequently asked questions

How do I look up DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC) by NPI?
Use NPI 1528090016 when you need to reference DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC) in forms, claims, or directories.
Is DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC) list a primary specialty?
If you are matching referrals, note Mental Health Counselor for DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC). Clinical services aligned with this taxonomy classification.
Where is DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC)'s primary listing?
We display Woodbridge, Virginia because that is what the record indicates for DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC).
How can I contact DR. LOTTIE GRACE OLSON-DAVIDSON (PH.D., LPC, LCMHC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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