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

Individual provider Mental Health Counselor · NPI 1437422813

Jerry Wayne Olive, LPC is a Mental Health Counselor in Ballwin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2012
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

301 Sovereign Ct Ste 105
Ballwin, MO 63011-4441
Phone: (636) 448-5184
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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 2009012865 (MO)

Record details

NPI number1437422813
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 16, 2012
Last updated in NPPESFebruary 16, 2012
Mailing address301 Sovereign Ct, Suite 105, Ballwin, MO 63011-4441

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