Active NPI
Rebecca Carlson, LMHCA
- Mental Health Counselor
- Snohomish, WA
National Provider Identifier
1104644970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61606570
- Practice address
- 207 Avenue D Ste 100
Snohomish, WA 98290-2773 - Phone
- (360) 547-2511
- NPI assigned
- Oct 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61606570 | WA | Primary |
Addresses
Primary practice location
207 Avenue D Ste 100
Snohomish, WA 98290-2773
Mailing address
PO Box 1062
Snohomish, WA 98291-1062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61606570 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1104644970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1062",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982911062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 AVENUE D STE 100",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902773",
"telephone_number": "360-547-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "REBECCA",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61606570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.