KRISTINA CARLSON (NPI# 1265969463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265969463 |
| Entity Type | Individual |
| Full Name | KRISTINA CARLSON |
| Credential | LMHC, LCDP |
| Practice Address |
528 N Main St Providence RI 02904-5757 |
| Mailing Address |
1239 Hill Farm Rd Coventry RI 02816-6936 |
| Practice Telephone | 4015280193 |
| Mailing Telephone | 4015758559 |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2020-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDP00715 | RI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MHC01113 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760824874 | Kristina Rae Carlson | Nurse Practitioner | 625 N. Jackson Avenue, Springfield, MN 56087 | 2013-07-18 |
| 1821474990 | Kristina Carlson | Pharmacist | 10010 N Scottsdale Rd, Scottsdale, AZ 85253-1421 | 2015-07-30 |
| Street Address |
528 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-5757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683985 | Arnold Harvey Herman | Surgery | 528 N Main St, Suite 3, Providence, RI 02904-5762 | 2005-10-20 |
| 1881220630 | John Vincent Gambino | Registered Nurse | 528 N Main St, Providence, RI 02904-5757 | 2020-03-12 |
| 1316506157 | Fallon Ellen Perreault | Counselor | 528 N Main St, Providence, RI 02904-5757 | 2019-06-06 |
| 1801358643 | Jora Ehrlich | Counselor | 528 N Main St, Providence, RI 02904-5757 | 2019-04-02 |
| 1346709029 | Stacey Leclerc | Counselor | 528 N Main St, Providence, RI 02904-5757 | 2019-03-13 |
| 1235625294 | Scott David Robinson | Registered Nurse | 528 N Main St, Providence, RI 02904-5757 | 2018-07-02 |
| 1548754484 | Rachel Armada | Social Worker | 528 N Main St, Providence, RI 02904-5770 | 2018-06-14 |
| 1801399449 | Gail Marie Moran | Registered Nurse | 528 N Main St, Providence, RI 02904-5757 | 2018-03-09 |
| 1255830816 | Vanessa Madrid | Registered Nurse | 528 N Main St, Providence, RI 02904-5757 | 2018-02-08 |
| 1619498664 | Shauna Mccafferty | Social Worker | 528 N Main St, Providence, RI 02904-5757 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932738416 | Rhea Bhatia | Counselor | 219 Leah St Unit 2, Providence, RI 02908-3907 | 2020-04-06 |
| 1568098721 | Roisin Mcgettigan | Counselor | 365 Hope St, Providence, RI 02906-1633 | 2020-03-19 |
| 1962049932 | Wholelife Family Wellness Clinic of Providence Pllc | Counselor | 169 N Gateway Dr. Suite 170, Providence, UT 84332 | 2019-12-09 |
| 1679117675 | Abbey Seabury Chrupcala | Counselor | 382 Thayer St, Providence, RI 02906-1558 | 2019-11-01 |
| 1205392891 | Sara De Carvalho | Counselor | 21 Pratt St # 5, Providence, RI 02906-1424 | 2019-02-19 |
| 1376008078 | Rebecca Zub | Counselor | 58 Taft Ave Apt 9, Providence, RI 02906-3473 | 2019-02-06 |
| 1821509944 | Hologram Central | Counselor | 44 Barbara St Unit 1, Providence, RI 02909-5110 | 2017-10-16 |
| 1497273932 | Ashley Jasmine Williams | Counselor | 131 Ledge St, Providence, RI 02904-1532 | 2017-09-05 |
| 1912448481 | Catherine Allard | Counselor | 225 Carpenter St, Providence, RI 02903-3044 | 2017-03-16 |
| 1649711144 | Kerri Peterson Weaver | Counselor | 400 Reservoir Ave Ste Llo, Providence, RI 02907-3595 | 2017-03-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on KRISTINA CARLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.