Stanley E Carlson, MDIV,LMHP,CPC,LADC,

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

18 Issued in NE

Practice address

230 E 22ND St
Suite #3
Fremont, NE 68025-2661

Phone

(402) 721-8805

Fax

(412) 727-4839

NPI assigned

Aug 9, 2006

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carlson Counseling Services LLC

  • Mental Health Counselor
  • Arlington, NE
  • NPI 1073975249

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1659381507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E 22ND ST",
            "address_2": "SUITE #3",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252661",
            "telephone_number": "402-721-8805",
            "fax_number": "412-727-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E 22ND ST",
            "address_2": "SUITE #3",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252661",
            "telephone_number": "402-721-8805",
            "fax_number": "412-727-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "STANLEY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MDIV,LMHP,CPC,LADC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "683",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "18",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2105",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025637500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025820000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Louise Cappadonia I, OT
• Katie Elizabeth Carcone
• Care Corps, Inc.
• Debra Jean Carlson, RP
• Melissa Suzanne Carlson, OTR/L
• Denise Carnahan, OTR/L
• Jlysa Carney
• Gabrielle Carr
• Michelle Lynn Carr
• Adin C Carrera

• Mental Health Counselor in Fremont, NE
• Providers in Fremont, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.

Verify at the official NPI Registry.