Shannon Carlson, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6616 Issued in ND

Practice address

1237 W Divide Ave
Bismarck, ND 58501-1220

Phone

(701) 319-7105

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1366215907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 W DIVIDE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011220",
            "telephone_number": "701-319-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 W DIVIDE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011220",
            "telephone_number": "701-319-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SHANNON",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "6616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail R Carlson, LSW
• Hugh S Carlson, MD
• Jessica A. Carlson, MD
• Joseph W Carlson, MD
• Michael Carlson, DC
• Toby Carlson
• Carrie Carmichael
• Tyson Copenhaver Carney
• Carol L. Krause, MD PC (Dakota Pain Management Center)
• Matthew Richard Carpenter, M.D.

• Mental Health Counselor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Mental Health Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.