JESSICA C. CARLSON (NPI# 1518110972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518110972 |
| Entity Type | Individual |
| Full Name | JESSICA C. CARLSON |
| Credential | L.P.C. |
| Practice Address |
1975 Martha Ave Idaho Falls ID 83404-7580 |
| Practice Telephone | 2085294300 |
| Practice Fax Number | 2085291627 |
| Mailing Telephone | 2085294300 |
| Mailing Fax Number | 2085291627 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-3413 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386959153 | Jessica Lynne Carlson | Occupational Therapist | 475 E Waterfront Dr, Homestead, PA 15120-1144 | 2010-08-17 |
| 1942533146 | Jessica C Carlson | Counselor | 75 Central Ave, Lewiston, ME 04240-6031 | 2009-09-08 |
| 1811199649 | Jessica Ann Carlson | Counselor | 1073 Willa Springs Dr, Suite 1041, Winter Springs, FL 32708-6623 | 2007-06-04 |
| 1558330852 | Jessica Lorraine Carlson | Internal Medicine | 920 East 28th Street Suite # 190, Minneapolis, MN 55407 | 2006-03-17 |
| 1255893459 | Jessica Carlson | Counselor | 5648 Friendship Ave, Pittsburgh, PA 15206-3610 | 2019-04-05 |
| 1861910457 | Jessica Carlson | Nurse Anesthetist, Certified Registered | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2017-09-02 |
| 1700123213 | Jessica Carlson | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2013-01-04 |
| 1659615086 | Jessica Ann Carlson | Pharmacist | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2012-11-26 |
| 1043563638 | Jessica T Carlson | Nurse Practitioner | 19343 Sunshine Ave, Covington, LA 70433-8834 | 2012-10-19 |
| 1487940318 | Jessica R Carlson | Surgery | 94220 4th St, Gold Beach, OR 97444-7756 | 2011-06-20 |
| Street Address |
1975 MARTHA AVE |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558457572 | Stephen R Marano | Neurological Surgery | 1975 Martha Ave, Ste A, Idaho Falls, ID 83404-7580 | 2006-10-05 |
| 1669785192 | Wind River Pain Management Pllc | Anesthesiology | 1975 Martha Ave, Suite B, Idaho Falls, ID 83404-7580 | 2010-07-26 |
| 1285959908 | Idaho Psychiatric Institute | Occupational Therapist | 1975 Martha Ave, Idaho Falls, ID 83404-7580 | 2010-04-06 |
| 1811211527 | Missy Renee Sturk | Occupational Therapist | 1975 Martha Ave, Idaho Falls, ID 83404-7580 | 2010-03-24 |
| 1881823979 | Brandon M Buhler | Marriage & Family Therapist | 1975 Martha Ave, Idaho Falls, ID 83404-7580 | 2009-07-09 |
| 1639322258 | Grand Teton Child Neurology | Community/Behavioral Health | 1975 Martha Ave, Idaho Falls, ID 83404-7580 | 2008-10-28 |
| 1568540706 | Steven V Klippert | Anesthesiology | 1975 Martha Ave, Ste. B, Idaho Falls, ID 83404-7580 | 2006-11-02 |
| 1497838478 | James Lee Cook | Neurological Surgery | 1975 Martha Ave, Ste A, Idaho Falls, ID 83404-7580 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1427670314 | Richard Meyers | Counselor | 2052 Jennie Lee Dr Ste 2, Idaho Falls, ID 83404-7056 | 2020-05-13 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1063923597 | Jared Roberts | Counselor | 550 W Sunnyside Rd, Idaho Falls, ID 83402-4619 | 2017-10-24 |
| 1982051694 | Stephen Nelson | Counselor | 1582 N Holmes Ave, Idaho Falls, ID 83401-2032 | 2016-05-23 |
| 1043689029 | Kirk Thiemann | Counselor | 115 E 16th St, Idaho Falls, ID 83404-5919 | 2015-09-19 |
| 1942632153 | Kevin L Lindley | Counselor | 1904 Jennie Lee Dr, Idaho Falls, ID 83404-6159 | 2013-07-30 |
| 1710325444 | Eric Olson | Counselor | 320 B St Ste 110, Idaho Falls, ID 83402-3547 | 2013-06-04 |
| 1427315084 | Healing Heands Reiki and Massage, LLC | Counselor | 429 B St, Idaho Falls, ID 83402-3544 | 2012-04-19 |
| 1497028161 | Shirley Joann Koester | Counselor | 901 Pier View Dr, Suite 204, Idaho Falls, ID 83402-5070 | 2012-02-10 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on JESSICA C. 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.