Individual provider Active NPI

Jeanne Carol Carlsen, DNP, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux Falls, SD
National Provider Identifier
1609956283
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CP001455 Issued in SD
Practice address
3101 W 41St St Ste 209
Sioux Falls, SD 57105-8130
Phone
(605) 521-0921
Fax
(605) 336-9031
NPI assigned
Oct 17, 2006
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CP001455 SD Primary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X CS004018 SD
Marriage & Family Therapist 106H00000X LMFT1110 SD
Psychiatric/Mental Health Registered Nurse 163WP0808X R025116 SD

Addresses

Primary practice location

3101 W 41St St Ste 209
Sioux Falls, SD 57105-8130

Mailing address

3101 W 41St St Ste 209
Sioux Falls, SD 57105-8130
Phone (605) 521-0921

Other practice location 1

2210 S Brown Pl
Sioux Falls, SD 57105-6582
Phone (605) 336-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000771 SD Practitioner - Certified Clinical Nurse Specialist (CNS) 2769440114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3101 W 41St St
Suite 209
Sioux Falls, SD 57105-8130
Phone (605) 521-0921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
LMFT1110SDMDMarriage & Family Therapist
R025116SDMDPsychiatric/Mental Health Registered Nurse
CP001455SDMDPsychiatric/Mental Health Nurse Practitioner
CS004018SDMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlsen Psychiatric Care LLC Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
Family Institute of the Midwest Marriage & Family Therapist Past Accepting new patients

Locations

3101 W 41st St
Ste 209
Sioux Falls, SD 57105
Phone (605) 521-0921

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1609956283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 41ST ST STE 209",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571058130",
            "telephone_number": "605-521-0921",
            "fax_number": "605-309-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W 41ST ST STE 209",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571058130",
            "telephone_number": "605-521-0921",
            "fax_number": "605-336-9031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 S Brown Pl",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571056582",
            "country_code": "US",
            "telephone_number": "605-336-1974",
            "fax_number": "605-336-9031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSEN",
        "first_name": "JEANNE",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "DNP, CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SD",
            "license": "CP001455",
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "SD",
            "license": "CS004018",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "LMFT1110",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "SD",
            "license": "R025116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.