Alicia D Carlson, M.S., LPC, NCC, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5275-125 Issued in WI

Practice address

10610 Main St Ste 224
Hayward, WI 54843-6586

Phone

(715) 634-4806

Fax

(715) 634-5387

NPI assigned

Oct 14, 2010

Last updated

Feb 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Sawyer

  • Community/Behavioral Health Agency
  • Hayward, WI
  • NPI 1003317579
  NPD (past)
• County of Sawyer

  dba Sawyer County Health & Human Services

  • Public Health or Welfare Agency
  • Hayward, WI
  • NPI 1679566327
  NPD (past)

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1942510755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10561 N RIVERSIDE RD",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548434015",
            "telephone_number": "715-699-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 MAIN ST STE 224",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436586",
            "telephone_number": "715-634-4806",
            "fax_number": "715-634-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ALICIA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "M.S., LPC, NCC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15916-131",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15898-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5275-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5275-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100036439",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara L Bowman, PA-C
• Erinn Greta Bratley, MA, OTR
• Lisa M. Bratvold, NP
• Macey Bunkelman, RDH
• John W Burns, RPH
• Rachael L Chambers, DO
• Laura Channing, DDS
• Stacy Chapin, FDN-P
• Donnan Leigh Christensen, M.D.
• Katie Christensen

• Professional Counselor in Hayward, WI
• Providers in Hayward, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.