KRISTA CARLSON (NPI# 1558713941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558713941 |
| Entity Type | Individual |
| Full Name | KRISTA CARLSON |
| Practice Address |
75 S 1st W Preston ID 83263-1204 |
| Practice Telephone | 2088822370 |
| Practice Fax Number | 2088525570 |
| Mailing Telephone | 2088822370 |
| Mailing Fax Number | 2088525570 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LMSW-35892 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 204234580 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730705732 | Krista L Carlson | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-25 |
| 1053871020 | Krista Carlson | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2019-03-25 |
| Street Address |
75 S 1ST W |
| City | PRESTON |
| State | ID |
| Zip Code | 83263-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073660320 | Priestley Mental Health Inc | Social Worker | 75 S 1st W, Preston, ID 83263-1259 | 2007-01-05 |
| 1649678368 | Cami Fellows | Counselor | 75 S 1st W, Preston, ID 83263-1204 | 2014-12-11 |
| 1720411002 | Karen Hull | Counselor | 75 S 1st W, Preston, ID 83263-1204 | 2013-08-09 |
| 1265865554 | David Ronald Priestley | Counselor | 75 S 1st W, Preston, ID 83263-1204 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447735493 | Marie Luke | Massage Therapist | 8 South State, Preston, ID 83263 | 2018-09-26 |
| 1881945921 | Michael David Earley | Chiropractor | 645 N State St, Preston, ID 83263 | 2012-09-28 |
| 1184872632 | Joel Thomas Webb | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2008-09-08 |
| 1245490390 | Daniel Yugi Patten | Family Medicine | 47 N. 1st E., Preston, ID 83263 | 2008-06-12 |
| 1144313610 | Tifani Waechtler | Physical Therapist | 43 North 100 East, Preston, ID 83263 | 2006-10-02 |
| 1215035969 | Larry's Family Pharmacy, Inc. | Pharmacist | 217 South State St., Preston, ID 83263 | 2006-09-20 |
| 1801909122 | David Bradley Beckstead | Family Medicine | 41 North 1 East, Preston, ID 83263 | 2006-08-17 |
| 1922022482 | Alan D Holt | Nurse Anesthetist, Certified Registered | 44 North 100 East, Preston, ID 83263 | 2006-07-27 |
| 1780979914 | Stuart G Knapp | Family Medicine | 47 N 1st E, Preston, ID 83263 | 2011-06-15 |
| 1104135326 | Chantee I Wyatt | Physician Assistant | 47 N 1st E, Preston, ID 83263 | 2010-10-05 |
| Find all providers in zip 83263 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902206287 | Summit Counseling Services LLC | Counselor | 655 S 4th E Ste 104, Preston, ID 83263-1616 | 2014-08-25 |
| 1649678368 | Cami Fellows | Counselor | 75 S 1st W, Preston, ID 83263-1204 | 2014-12-11 |
| 1720411002 | Karen Hull | Counselor | 75 S 1st W, Preston, ID 83263-1204 | 2013-08-09 |
| 1265865554 | David Ronald Priestley | Counselor | 75 S 1st W, Preston, ID 83263-1204 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255881 | Gerlyn Danette Walker | Counselor | 414 N Lincoln Ave Ste 1, Jerome, ID 83338-2300 | 2020-11-03 |
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1013514728 | Rebecca Rand Counseling LLC | Counselor | 136 S Academy Ave Ste G, Eagle, ID 83616-6541 | 2020-10-06 |
| 1689271843 | Krystle May Sears | Counselor | 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 | 2020-10-01 |
| 1437761491 | Bridges Behavioral Health LLC | Counselor | 16810 N Dartmouth Ave, Nampa, ID 83687-3028 | 2020-08-20 |
| 1891307815 | Pointview Counseling LLC | Counselor | 5700 E Franklin Rd Ste 220b, Nampa, ID 83687-7903 | 2020-08-20 |
| 1003425547 | Jennifer Weseman | Counselor | 6305 W Overland Rd Ste 100, Boise, ID 83709-3029 | 2020-07-30 |
| 1801405766 | Kristin Sue Richards | Counselor | 2000 N Larch St, Boise, ID 83706-1020 | 2020-07-27 |
| 1356959787 | Heidi Alyssa Stark | Counselor | 4024 Ivy Dr, Nampa, ID 83686-8852 | 2020-07-22 |
| 1316563505 | Family Health Services Corporation | Counselor | 607 2nd Ave E, Twin Falls, ID 83301-7128 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
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| 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.