Active NPI
Jeanne Carol Carlsen, DNP, CNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CP001455
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT1110 | SD | MD | Marriage & Family Therapist |
| R025116 | SD | MD | Psychiatric/Mental Health Registered Nurse |
| CP001455 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
| CS004018 | SD | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlsen Psychiatric Care LLC | Psychiatric/Mental Health | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sioux Falls, SD
- NPI 1942955067
-
- Adult Mental Health Clinic/Center
- Sioux Falls, SD
- NPI 1437155132
Marriage & Family Therapist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.