Kali Elisabeth Carlson, MA, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1447 Issued in MN

Practice address

925 E Superior St Ste 113
Duluth, MN 55802-2253

Phone

(218) 310-8896

Fax

(218) 206-6276

NPI assigned

Apr 6, 2018

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

Enrolled in MN

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, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Webmed LLCGroup PAC ID 2163767286, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Webmed Mental Health

  • Mental Health Counselor
  • Duluth, MN
  • NPI 1073021036
  Medicare reassignment Care Compare group NPD
• Brightwater Health Dba Human Development Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, MN
  • NPI 1194790733
  NPD (past)
• Thrive Behavioral Network II, LLC

  • Physical Disabilities Residential Treatment Facility
  • Duluth, MN
  • NPI 1275955270
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1992202972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENUE B",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201631",
            "telephone_number": "218-310-8896",
            "fax_number": "218-206-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E SUPERIOR ST STE 113",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022253",
            "telephone_number": "218-310-8896",
            "fax_number": "218-206-6276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558052219",
            "country_code": "US",
            "telephone_number": "218-310-8896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "KALI",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Cecilia Katelyn Carlson
• Colleen Pearle Carlson
• Dawn Laurie Carlson, PHARM.D.
• Eric J Carlson, MSW, LICSW
• Julia Nicole Carlson, MS
• Kirstin M Carlson
• Laura Joy Carlson
• Luke D Carlson
• Lynette Rene Carlson, MA, CCC-SLP
• Mark James Carlson, M.D.

• Mental Health Counselor in Duluth, MN
• Providers in Duluth, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.