Three Olive Branches Counseling LLC · Clinical Social Worker

505 Broadway Ste A, Mt Zion, IL 62549-1560

Overview

Three Olive Branches Counseling LLC is a Clinical Social Worker (organization) practicing in Mt Zion, Illinois. The National Provider Identifier (NPI) is #1790628212, which was assigned on April 10, 2026, and the registration record was last updated on April 10, 2026. The practitioner's main practice location is at 505 Broadway Ste A, Mt Zion, IL 62549-1560; the contact telephone number is 2176436009, and the fax number is 8882972257. The primary taxonomy of Three Olive Branches Counseling LLC is Clinical Social Worker (1041C0700X), with specialization in Clinical. The authorized official for Three Olive Branches Counseling LLC is Kathleen Outzen (Owner/ Therapist).

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Provider Information

NPI 1790628212
Entity Type Organization
Organization Name THREE OLIVE BRANCHES COUNSELING LLC
Provider Name THREE OLIVE BRANCHES COUNSELING LLC
Practice Address 505 Broadway Ste A
Mt Zion
IL 62549-1560
Practice Telephone 2176436009
Practice Fax Number 8882972257
Mailing Address Po Box 140
Mt Zion
IL 62549-0140
Mailing Telephone 2176436009
Mailing Fax Number 8882972257
Certification Date 2026-04-10
Enumeration Date 2026-04-10
Last Update Date 2026-04-10
Is Organization Subpart N

Authorized Official Information

Official Name KATHLEEN OUTZEN
Official Title OWNER/ THERAPIST
Credential LCSW
Telephone 2176436009

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1041C0700XSocial WorkerClinical193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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Location Information

Street Address 505 BROADWAY STE A
City MT ZION
State IL
Zip Code 62549-1560
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Gently Nourish Nutrition Therapy LLC 1335 Finley Ct, Mount Zion, IL 62549-1020Registered Dietitian2025-11-12

Providers in the state of IL

Provider NameAddressTaxonomyEnumeration Date
Aalanah Peoples 1954 W Irving Park Rd, Chicago, IL 60613-2408Social Worker2026-04-11
Olayemi Mercy Adebayo 815 Main St, Peoria, IL 61602-1076Student in an Organized Health Care Education/Training Program2026-04-11
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Warren W Davis Jr. 500 S Clinton St Apt 730, Chicago, IL 60607-4329Registered Nurse2026-04-10
Amanda Elizabeth Garbis 390 E Congress Pkwy, Crystal Lake, IL 60014-6202Behavior Technician2026-04-10
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Erica Rodriguez 30 N Michigan Ave Ste 901, Chicago, IL 60602-3767Social Worker2026-04-11
Michala Heise 4521 Fountain Brook Dr, Waterloo, IL 62298-2748Physical Therapist2026-04-11
Fernanda Martinez 1900 Silver Cross Blvd, New Lenox, IL 60451-9509Advanced Practice Midwife2026-04-11
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.