Thomas Carlson, MA LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E 0002275 Issued in OH

Practice address

7495 State Rd
Suite 340
Cincinnati, OH 45255-2498

Phone

(513) 232-3400

Fax

(513) 232-1900

NPI assigned

Dec 24, 2007

Sex

Male

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

Credentials

Master of Arts

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.

• Forest Hills Counseling Care,

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1275718439
  NPD (past) Authorized official

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1497939649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 STATE RD",
            "address_2": "SUITE 340",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552498",
            "telephone_number": "513-232-3400",
            "fax_number": "513-232-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7495 STATE RD",
            "address_2": "SUITE 340",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552498",
            "telephone_number": "513-232-3400",
            "fax_number": "513-232-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "MA LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0002275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000554980",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Carlson, NP-C
• Rick G Carlson
• Scott Carlson, M.D.
• Stephanie Rough Carlson, M.S.
• Susan Carlson, MSW
• Megan Carlton
• Carlyn Malenfant DMD LLC
• Patricia Anne Carlyn, RN
• Tamarie Lane Carmack
• Jeannette Knesper Carman, LISW-S

• All providers in Cincinnati, OH
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.