Organization Active NPI

Danielle Carlson, LMFT PLLC

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1891543047
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DANIELLE CARLSON, LMFT PLLC
Practice address
3323 W Diversey Ave Ste 13
Chicago, IL 60647-8582
Phone
(773) 609-2296
NPI assigned
May 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Danielle Renee Carlson, LMFTNPI 1982151379
Title
Manager
Phone
(949) 280-2600

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3323 W Diversey Ave Ste 13
Chicago, IL 60647-8582

Mailing address

3323 W Diversey Ave Ste 13
Chicago, IL 60647-8582
Phone (773) 609-2296

National Provider Directory

National Provider Directory

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": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1891543047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 W DIVERSEY AVE STE 13",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606478582",
            "telephone_number": "773-609-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 W DIVERSEY AVE STE 13",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606478582",
            "telephone_number": "773-609-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELLE CARLSON, LMFT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-280-2600",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.