LYNNETTE CARLSON (NPI# 1235456146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235456146 |
| Entity Type | Individual |
| Full Name | LYNNETTE CARLSON |
| Credential | LMHC |
| Practice Address |
1319 W Bloomfield Rd Bloomington IN 47403-2000 |
| Practice Telephone | 8123311235 |
| Practice Fax Number | 8123536137 |
| Mailing Telephone | 8123311235 |
| Mailing Fax Number | 8123536137 |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2010-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
39000586A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM NON-PAR PIN NUMBER | 000000545373 | 01 |
| Street Address |
1319 W BLOOMFIELD RD |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720200082 | Joni Reagan | Social Worker | 1319 W Bloomfield Rd, Bloomington, IN 47403-2000 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952550741 | Ruth Ellen Benjamin | Counselor | 10800 Lyndale Ave S Ste 191, Bloomington, MN 55420-5614 | 2008-09-16 |
| 1609053289 | Laurette Frazier | Counselor | 2815 E. 10th Street, Stone Belt, Bloomington, IN 47408 | 2008-01-26 |
| 1578821641 | Kenneth B Masi | Counselor | 105 W Jefferson St, Bloomington, IL 61701-3904 | 2012-04-26 |
| 1811272214 | Joseph M Krol | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2011-10-17 |
| 1700190808 | Mary Kathleen Gosse | Counselor | 10800 Lyndale Ave S, Suite 191, Bloomington, MN 55420-5614 | 2010-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508372012 | Harvest In Time Christian University & Seminary | Counselor | 5330 Broadway, Merrillville, IN 46410-1555 | 2017-12-19 |
| 1174067748 | Derek Daniel | Counselor | 5603 Cherry Field Dr, Indianapolis, IN 46237-3825 | 2016-12-15 |
| 1942752761 | Indianapolis Counselor Incorporated | Counselor | 819 East 64th Street, #216, Indianapolis, IN 46220-6610 | 2016-10-27 |
| 1104274232 | Tyrone Bostic | Counselor | 5421 Fallwood Dr, 110, Indianapolis, IN 46220-5659 | 2016-05-31 |
| 1588029359 | Tama Jo Powers | Counselor | 207 E Lafayette St, Winslow, IN 47598-5408 | 2015-12-22 |
| 1730599168 | Richard E Plass | Counselor | 2100 Highway 150, Floyds Knobs, IN 47119-9444 | 2014-05-07 |
| 1528314713 | Gary W Nichols | Counselor | 5150 E Stop 11 Rd Ste 10, Indianapolis, IN 46237-8629 | 2012-07-25 |
| 1164785010 | James Lewis Bilskie Jr. | Counselor | 1305 Ritterskamp Ave, Vincennes, IN 47591-4929 | 2012-06-15 |
| 1336312263 | Tracy M Ross | Counselor | 4218 Guion Lakes Ter, Indianapolis, IN 46254-1594 | 2008-04-11 |
| 1568518785 | Victor Frederick Kolch | Counselor | 300 W Wayne St, Fort Wayne, IN 46802-3608 | 2007-01-29 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on LYNNETTE 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.