Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lottie Grace Olson-Davidson, PHD, LPC, LCMHC

Individual provider Mental Health Counselor · NPI 1528090016

Dr. Lottie Grace Olson-Davidson, PHD, LPC, LCMHC is a Mental Health Counselor in Dumfries, Virginia. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alaska, District of Columbia, Georgia and Maine and 3 more.

Years since qualifying
17
Licensed in
AK, DC, GA, ME, NC, SC
In the registry since
2006
Specialties on file
9
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4222 Fortuna Center Plz Ste 192
Dumfries, VA 22025-1515
Phone: (703) 910-7529
Fax: (703) 910-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence VA #0701005309 (VA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 456 (AK)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4402 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C-4523 (AK)
Mental Health Counselor Taxonomy 101YM0800X · Licence NC # 9490 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence PRC14303 (DC)
Professional Counselor Taxonomy 101YP2500X · Licence 9384 (SC)
Professional Counselor Taxonomy 101YP2500X · Licence CC7371 (ME)
Professional Counselor Taxonomy 101YP2500X · Licence PC7218 (ME)

Record details

NPI number1528090016
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LPC , LCMHC
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dumfries