Danielle Carlson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

208.000545 Issued in IL

Practice address

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

Phone

(773) 609-2296

NPI assigned

Sep 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Danielle Carlson, LMFT PLLC

  • Marriage & Family Therapist
  • Chicago, IL
  • NPI 1891543047
  NPD Authorized official

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1982151379",
    "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": {
        "last_name": "CARLSON",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Carlson, LCSW
• Bryan J Carlson, M.S., OTR/L, CHT
• Caroline Marie Carlson
• Courtney R Carlson, PA-C
• Cristen L Carlson, ATC
• Dustin Carlson, M.D.
• Elizabeth Carlson
• Hannah Carlson, LCSW
• Jeanna Carlson, FNP
• Jessica Carlson, PHARMD

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• 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.