Jessica Ann Carlson, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7449 Issued in FL

Practice address

1073 Willa Springs Dr
Suite 1041
Winter Springs, FL 32708-6623

Phone

(407) 696-4002

Fax

(407) 696-4002

NPI assigned

Jun 4, 2007

Last updated

Nov 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1811199649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 WILLA SPRINGS DR",
            "address_2": "SUITE 1041",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086623",
            "telephone_number": "407-696-4002",
            "fax_number": "407-696-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 WILLA SPRINGS DR",
            "address_2": "SUITE 1041",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086623",
            "telephone_number": "407-696-4002",
            "fax_number": "407-696-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.