Jasmine N Carlson, MS, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC.0021406 Issued in CO

Practice address

454 1/2 Sunset LN
Pueblo, CO 81005-1190

Phone

(719) 557-0415

NPI assigned

Jun 3, 2021

Last updated

Oct 23, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quinault Indian NationGroup PAC ID 4385164839, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quinault Indian Nation

  dba Quinault Community Health

  • Family Medicine Physician
  • Aberdeen, WA
  • NPI 1952131757

  TX

  Medicare reassignment Care Compare group NPD
• Fisher Family Medicine, PS

  • Clinic/Center
  • Aberdeen, WA
  • NPI 1679229223
  NPD
• Herdel Medical Services

  • Family Medicine Physician
  • Aberdeen, WA
  • NPI 1861756777
  NPD
• Juliette Erickson MD PS

  dba Juliette K Erickson MD

  • Family Medicine Physician
  • Aberdeen, WA
  • NPI 1710026448
  NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1932775418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8964 PUEBLO MOUNTAIN PARK RD",
            "city": "BEULAH",
            "state": "CO",
            "postal_code": "810239706",
            "telephone_number": "719-557-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 1/2 SUNSET LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051190",
            "telephone_number": "719-557-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9161 Pueblo Mountain Park Rd",
            "address_purpose": "LOCATION",
            "city": "Beulah",
            "state": "CO",
            "postal_code": "810239706",
            "country_code": "US",
            "telephone_number": "719-557-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JASMINE",
        "middle_name": "N",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC.0021406",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Carlo, RDH
• Darla Marie Carlock, PTA, CCI
• Carlos Rodriguez, PH.D., P.C. (New Beginnings)
• Aileen Carlos, FNP
• Carlotta J. Fendrich, LLC
• Carmel Community Living Corporation (Overture)
• Rae Carnevale
• Hannah Carney
• Brandy Caro
• Nathan Isaac Carpenter, PA

• Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.