Carlsen Psychiatric Care LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CARLSEN PSYCHIATRIC CARE LLC

Practice address

3101 W 41St St Ste 209
Sioux Falls, SD 57105-8130

Phone

(605) 521-0921

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jeanne Carol Carlsen, CNPNPI 1609956283

Title

Owner

Phone

(605) 521-0921

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne Carol Carlsen, DNP, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sioux Falls, SD
  • NPI 1609956283

  Psychiatric/Mental Health, SD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1942955067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 41ST ST STE 209",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571058130",
            "telephone_number": "605-521-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W 41ST ST STE 209",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571058130",
            "telephone_number": "605-521-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSEN PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "CARLSEN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-521-0921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575930",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Partners South Dakota Medical PC
• Care Planning Institute
• Careconnectmd South Dakota PC
• Caringedge Hospice of Sioux Falls LLC
• Gideon Thomas Carlisle
• Jeanne Carol Carlsen, DNP, CNP, PMHNP-BC
• Carrie Jane Carlson, D.O.
• Craig L Carlson, MD
• Dylan Carlson, PT, DPT
• Faith Charis Carlson, LPC-MH

• All providers in Sioux Falls, SD
• Psychiatric/Mental Health Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.