Walter Carlson, M.ED., CADC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180003891 Issued in IL

Practice address

1731 N Marcey St Ste 535
Chicago, IL 60614-7965

Phone

(312) 280-1166

Fax

(312) 280-1199

NPI assigned

Jan 31, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Terry Hefter Associates LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1861589624

  Professional

  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1841596434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 N MARCEY ST STE 535",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147965",
            "telephone_number": "312-280-1166",
            "fax_number": "312-280-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 N MARCEY ST STE 535",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147965",
            "telephone_number": "312-280-1166",
            "fax_number": "312-280-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "M.ED., CADC, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "6409",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole W Carlson, RN, CPNP
• Rachel Carlson, LCSW
• Sarah Jane Frailey Carlson, DDS
• Tanya Lauren Carlson, D.C
• Thomas A Carlson, M.D.
• Luke Carlstrom, MD
• Morgan Carlstrom
• Rebecca Elizabeth Carlstrom, ATC
• Carlton a. West, MD SC
• Carlton at the Lake Inc

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.