Active NPI
Faith Charis Carlson, LPC-MH
- Mental Health Counselor
- Sioux Falls, SD
National Provider Identifier
1134735764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- TPMC3061
- Practice address
- 5000 South Minnesota Avenue
Suite 100
Sioux Falls, SD 57108-2700 - Phone
- (605) 951-9100
- Fax
- (605) 951-9102
- NPI assigned
- Sep 18, 2020
- Last updated
- Jan 24, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | TPMC3061 | FL | Primary |
| Mental Health Counselor | 101YM0800X | LPC20570 | SD | |
| Mental Health Counselor | 101YM0800X | LPC-MH30636 | SD | |
| Mental Health Counselor | 101YM0800X | 2537 | MN | |
| Mental Health Counselor | 101YM0800X | 114460 | IA |
Addresses
Primary practice location
5000 South Minnesota Avenue
Suite 100
Sioux Falls, SD 57108-2700
Mailing address
PO Box 645
Sioux Falls, SD 57101-0645
Phone (605) 595-3653
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 |
|---|---|---|---|
| TPMC3061 | FL | MD | Mental Health Counselor |
| 114460 | IA | MD | Mental Health Counselor |
| LPC-MH30636 | SD | MD | Mental Health Counselor |
| LPC20570 | SD | MD | Mental Health Counselor |
| 2537 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victus Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
5000 S Minnesota Ave
Ste 100
Sioux Falls, SD 57108
Phone (605) 371-6899
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1134735764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571010645",
"telephone_number": "605-595-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SOUTH MINNESOTA AVENUE",
"address_2": "SUITE 100",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082700",
"telephone_number": "605-951-9100",
"fax_number": "605-951-9102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "FAITH",
"middle_name": "CHARIS",
"name_prefix": "Ms.",
"credential": "LPC-MH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-18",
"last_updated": "2024-01-24",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "TPMC3061",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC20570",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SD",
"license": "LPC-MH30636",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "2537",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "114460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.