Organization Active NPI

Danielle Carlson Counseling, LLC

Doing business as Equine Elevated

  • Marriage & Family Therapist
  • Hugo, MN
National Provider Identifier
1235837501
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DANIELLE CARLSON COUNSELING, LLC
Doing business as
Equine Elevated
Practice address
15198 Irish Ave N
Hugo, MN 55038-9444
Phone
(612) 743-8091
NPI assigned
Feb 16, 2023
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DANIELLE CARLSON COUNSELING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Danielle Carlson, LMFTNPI 1679877252
Title
Owner
Phone
(612) 743-8091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

15198 Irish Ave N
Hugo, MN 55038-9444

Mailing address

15198 Irish Ave N
Hugo, MN 55038-9444
Phone (612) 743-8091

Other identifiers 1

IdentifierTypeStateIssuer
1679877252OtherLMFT

Other names 1

  • Equine Elevated Doing business as

National Provider Directory

National Provider Directory
Part of
Danielle Carlson Counseling LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1235837501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15198 IRISH AVE N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550389444",
            "telephone_number": "612-743-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15198 IRISH AVE N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550389444",
            "telephone_number": "612-743-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE CARLSON COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DANIELLE CARLSON COUNSELING, LLC",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-743-8091",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT",
            "identifier": "1679877252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Equine Elevated",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Equine Elevated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hugo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.