Emily Carlson
Individual provider Active NPI Mental Health Counselor · Reno, NV
NPI 1780240853 · NPPES record last updated Sep 13, 2022
Key facts
- NPI
- 1780240853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CP5264-R (NV)
- Practice address
- 435 Court St
Reno, NV 89501-1708 - Phone
- (775) 302-9973
- Fax
- (775) 302-9931
- NPI assigned
- May 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240112002758 | NV | Practitioner - Mental Health Counselor | 9830540996 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP5264-R | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Current |
Accepting new patients | |
| Reno Counseling Collective, LLC | Mental Health | Current |
Accepting new patients |
| Community Care Services LLC | Current |
Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Past | Accepting new patients |
Locations
435 Court St
Reno, NV 89501
Phone (775) 302-9973
85 Kirman Ave
Ste 200
Reno, NV 89502
Phone (775) 982-2862
1155 Mill St
Reno, NV 89502
Phone (775) 982-7878
1155 Mill St
#14
Reno, NV 89502
10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | CP5264-R | NV | Yes |
Addresses
Primary practice location
435 Court St
Reno, NV 89501-1708
Mailing address
435 Court St
Reno, NV 89501-1708
Phone (775) 302-9973
Other practice location 1
11059 E Bethany Dr
Aurora, CO 80014-2622
Phone (303) 617-2300 ext. 2341
Other providers in Reno, NV
- Stephanie Ann Carlsen
- Aleta Diane Carlson
- Andresa Carlson
- Carolyn Carlson
- David L. Carlson
- Mary Carlson
- Rita A. Carlson
- Sarah Carlson
- Lauren Rose Carlton
- Ritta Carlton
All providers in Reno, NV · Mental Health Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.