DR. JEANNE CAROL CARLSEN DNP CNP PMHNP-BC NPI 1609956283

NPI Information

NPI: 1609956283
Provider Name: DR. JEANNE CAROL CARLSEN, DNP, CNP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: FAMILY SERVICE INC

PECOS Registration: Yes

Address:
2210 S BROWN PL
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 336-1974
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DR. Jeanne Carol Carlsen, DNP, CNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Sioux Falls, SD with 32 years of experience. DR. Jeanne Carol Carlsen, DNP, CNP, PMHNP-BC NPI is 1609956283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2210 S BROWN PL
SIOUX FALLS, SD
ZIP 57105-582
Phone: (605) 336-1974
Fax: (605) 336-9031

The NPI 1609956283 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 2/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106H00000X	Marriage & Family Therapist		LMFT1110	SOUTH DAKOTA	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	SDRNR025116	SOUTH DAKOTA	No
3	163WP0808X	Registered Nurse	Psychiatric/Mental Health	R025116	SOUTH DAKOTA	No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	CNP	SOUTH DAKOTA	No
5	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	SDCNSCS004018	SOUTH DAKOTA	No
6	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	CS004018	SOUTH DAKOTA	No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CP001455	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6575930	MEDICAID	SOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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