Danielle Alyssa Carlson, LMFT

Individual provider Active NPI Marriage & Family Therapist · Hugo, MN

NPI 1679877252 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1679877252
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
3054 (MN)
Practice address
15198 Irish Ave N
Hugo, MN 55038-9444
Phone
(612) 743-8091
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Carlson Counseling, LLC Marriage & Family Therapist Current
since Jun 2, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3054 MN Yes

Addresses

Primary practice location

15198 Irish Ave N
Hugo, MN 55038-9444

Mailing address

15198 Irish Ave N
Hugo, MN 55038-9444
Phone (612) 743-8091

Other providers in Hugo, MN

All providers in Hugo, MN · Marriage & Family Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.