Mari Christina Nelson, LCPC, ICADC, DBTC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-6017 Issued in ID

Practice address

488 Blue Lakes Blvd. North
Suite #108
Twin Falls, ID 83301

Phone

(208) 421-4293

NPI assigned

Oct 8, 2009

Sex

Female

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

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.

• Nelson Counseling, LLC

  • Community/Behavioral Health Agency
  • Twin Falls, ID
  • NPI 1215399464
  NPD (past) Authorized official

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1861727869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 BLUE LAKES BLVD N",
            "address_2": "SUITE #108",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014800",
            "telephone_number": "208-421-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 BLUE LAKES BLVD. NORTH",
            "address_2": "SUITE #108",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-421-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARI",
        "middle_name": "CHRISTINA",
        "credential": "LCPC, ICADC, DBTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-6017",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ID",
            "license": "1133008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather J Nelson, MSW
• Hilber Nelson, L.C.S.W.
• Jonathan Vincent Nelson, LCSW
• Kirsten Nelson
• Levi Nelson, D.C.
• Philip M Nelson, MD
• Nikolaus Konrad Neudorf, MD
• Neurology of Twin Falls, LLC
• New Horizon Support Services
• New Leaf Behavioral Health

• Mental Health Counselor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.