MRS. TERRY JO CARLSON (NPI# 1346617198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346617198 |
Entity Type | Individual |
Full Name | MRS. TERRY JO CARLSON |
Credential | RN, CADC, LMHC |
Practice Address |
1642 42nd St Ne Cedar Rapids IA 52402-3076 |
Practice Telephone | 3193772161 |
Practice Fax Number | 3193772094 |
Mailing Telephone | 3193772161 |
Mailing Fax Number | 3193772094 |
Enumeration Date | 2015-08-27 |
Last Update Date | 2015-08-31 |
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) |
13071 | IA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
001655 | IA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649281114 | Terry Axel Carlson | Psychologist | 543 Taylor Ave, 116a, Columbus, OH 43203-1278 | 2006-08-10 |
1720063183 | Terry Carlson | Pathology | 550 N Hillside St, Wichita, KS 67214-4910 | 2005-12-08 |
Street Address |
1642 42ND ST NE |
City | CEDAR RAPIDS |
State | IA |
Zip Code | 52402-3076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497211007 | Keli Bea Hagen | Social Worker | 1642 42nd St Ne, Cedar Rapids, IA 52402-3076 | 2019-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
Find all providers in zip 52402 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013523943 | Bryan Busch | Counselor | 1030 5th Ave Se # Ate3000, Cedar Rapids, IA 52403-2464 | 2020-09-16 |
1477179133 | James L Neubauer | Counselor | 3745 Center Point Rd Ne, Cedar Rapids, IA 52402-2926 | 2020-06-18 |
1366065062 | Thea Bedell, Lmhc, LLC | Counselor | 3412 Center Point Rd Ne, Cedar Rapids, IA 52402-5529 | 2020-05-28 |
1629609037 | Alyssa Anne Mcdowell | Counselor | 1073 Rockford Rd Sw Ste E, Cedar Rapids, IA 52404-1868 | 2020-02-04 |
1316589682 | Gail Wood | Counselor | 1660 42nd St Ne Ste O, Cedar Rapids, IA 52402-3066 | 2019-10-08 |
1154962991 | Tracy Adam | Counselor | 1221 Park Pl Ne Ste F, Cedar Rapids, IA 52402-2019 | 2019-10-02 |
1144883539 | Barbara Lynn Murphy | Counselor | 3635 Bever Ave Se, Cedar Rapids, IA 52403-4330 | 2019-04-21 |
1700358520 | Syndrea Porter | Counselor | 1146 Blairs Ferry Rd Ne Ste 2, Cedar Rapids, IA 52402-1274 | 2018-12-18 |
1144791153 | Shannon Elise Perea | Counselor | 215 4th Ave Se, Cedar Rapids, IA 52401-1844 | 2018-12-17 |
1902375801 | A New Leaf Mental Health & Wellness Center, Inc | Counselor | 5925 Council St Ne Ste 117, Cedar Rapids, IA 52402-5860 | 2018-11-20 |
Find all providers in CEDAR RAPIDS |
City | CEDAR RAPIDS |
Zip Code | 52402 |
Please comment or provide details below to improve the information on MRS. TERRY JO 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.