NPIMap

Organization Active NPI

Carlson Early Childhood Mental Health, LLC

  • Community/Behavioral Health Agency
  • Rio Rancho, NM
National Provider Identifier
1750773123
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0167751 Issued in NM
Legal business name
CARLSON EARLY CHILDHOOD MENTAL HEALTH, LLC
Practice address
4111 Barbara Loop SE
Suite E-1
Rio Rancho, NM 87124-1068
Phone
(505) 750-3467
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Mrs. Megan Carlson, LPCCNPI 1083903520
Title
Owner
Phone
(505) 250-3047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0167751 NM Primary

Addresses

Primary practice location

4111 Barbara Loop SE
Suite E-1
Rio Rancho, NM 87124-1068

Mailing address

1433 Montiano Loop SE
Rio Rancho, NM 87124-8769
Phone (505) 250-3047

National Provider Directory

National Provider Directory

Locations

4111 Barbara Loop SE
Ste E1
Rio Rancho, NM 87124
Phone (505) 219-1973

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1750773123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 MONTIANO LOOP SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248769",
            "telephone_number": "505-250-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 BARBARA LOOP SE",
            "address_2": "SUITE E-1",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241068",
            "telephone_number": "505-750-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON EARLY CHILDHOOD MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-250-3047",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0167751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.