Stephany Carlson, MS

Individual provider Active NPI Marriage & Family Therapist · Chaparral, NM

NPI 1205471968 · NPPES record last updated Mar 9, 2026

Key facts

NPI
1205471968
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
CTB-2025-0370 (NM)
Practice address
836 Mesilla Dr
Chaparral, NM 88081-7619
Phone
(575) 618-0375
NPI assigned
Nov 16, 2019
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CTB-2025-0370NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephany Carlson LLC Marriage & Family Therapist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X CTB-2025-0370 NM Yes

Addresses

Primary practice location

836 Mesilla Dr
Chaparral, NM 88081-7619

Mailing address

836 Mesilla Dr
Chaparral, NM 88081-7619
Phone (575) 618-0375

Other providers in Chaparral, NM

All providers in Chaparral, NM · Marriage & Family Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.