Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Olivia Grace Axelson, PHD

Individual provider Psychologist · NPI 1508462623

Dr. Olivia Grace Axelson, PHD is a Clinical Psychologist in St Louis Park, Minnesota. Qualified in 2019, 7 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3123
Fax: (952) 993-3286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Veterans Dr, Minneapolis, MN 55417-2309 — (612) 629-7247

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP6628 (MN)
Psychologist Taxonomy 103T00000X · Licence LP6628 (MN)

Record details

NPI number1508462623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 6, 2020
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in St Louis Park