MR. STANLEY E CARLSON MDIVLMHPCPCLADC NPI 1659381507

NPI Information

NPI: 1659381507
Provider Name: MR. STANLEY E CARLSON, MDIV,LMHP,CPC,LADC,
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
230 E 22ND ST
SUITE #3
FREMONT, NE
ZIP 68025
Phone: (402) 721-8805
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MR. Stanley E Carlson, MDIV,LMHP,CPC,LADC, is a mental health counselor in Fremont, NE. MR. Stanley E Carlson, MDIV,LMHP,CPC,LADC, NPI is 1659381507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 E 22ND ST
SUITE #3
FREMONT, NE
ZIP 68025-661
Phone: (402) 721-8805
Fax: (412) 727-4839

The enumeration date for this NPI number is 8/9/2006 and was last updated on 6/9/2021.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	683	NEBRASKA	No
2	101YM0800X	Counselor	Mental Health	18	NEBRASKA	Yes
3	101YM0800X	Counselor	Mental Health	2105	NEBRASKA	No
4	101YP2500X	Counselor	Professional	1200	NEBRASKA	No

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	10025637500	MEDICAID	NEBRASKA
2	10025820000	MEDICAID	NEBRASKA

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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