Alix Carlson, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Atlantic, IA
NPI 1689048522 · NPPES record last updated Nov 16, 2015
Key facts
- NPI
- 1689048522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 13120 (IA)
- Practice address
- 1500 E 10TH St
Atlantic, IA 50022-1935 - Phone
- (712) 243-5091
- Fax
- (712) 243-1337
- NPI assigned
- Nov 16, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13120 | IA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13120 | IA | Yes |
Addresses
Primary practice location
1500 E 10TH St
Atlantic, IA 50022-1935
Mailing address
1500 E 10TH St
Atlantic, IA 50022-1935
Phone (712) 243-5091
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0177394 | Medicaid | IA | |
| 68236 | Other | IA | WELLMARK |
Other providers in Atlantic, IA
- James Brown
- Shelli Dee Brown
- Matthew R Brummer
- Billie Jo Butler
- Care Initiatives
- Cass County Case Management
- Cass County Memorial Hospital
- Cass County Memorial Hospital
- Cass County Memorial Hospital
- Cass County Memorial Hospital
All providers in Atlantic, IA · Addiction (Substance Use Disorder) Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.