Sally Carlon, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0154131 Issued in NM

Practice address

3901 Louisiana Blvd NE
Suite C
Albuquerque, NM 87110-1577

Phone

(505) 888-1686

Fax

(505) 888-1683

NPI assigned

Jun 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carsal LLC

  • Community/Behavioral Health Agency
  • Los Ranchos, NM
  • NPI 1871116236
  NPD Authorized official

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1346476009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9217 GALAXIA WAY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87111",
            "telephone_number": "505-681-3819",
            "fax_number": "505-888-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LOUISIANA BLVD NE",
            "address_2": "SUITE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101577",
            "telephone_number": "505-888-1686",
            "fax_number": "505-888-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLON",
        "first_name": "SALLY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0154131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65704266",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Carling, D.O.M.
• Aaron Hugh Carlisle, RPH
• Jacqueline Carlisle, D.C.
• Lisbeth Jane Carlisle, RN
• Lorraine M Carlisle, R.PH.
• Carlos J Esparza MD PC
• Mikki Carlow, L.M.S.W
• Breeanna Carlson, DO
• Cristina Carlson, CNS
• David A Carlson, CRNA

• All providers in Albuquerque, NM
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.