MS. STACIE ELIZABETH CARLSON (NPI# 1649379405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649379405 |
| Entity Type | Individual |
| Full Name | MS. STACIE ELIZABETH CARLSON |
| Credential | COUNSELOR |
| Practice Address |
210 S Main Street Three Rivers MI 49093 |
| Practice Telephone | 2692735000 |
| Practice Fax Number | 2692739456 |
| Mailing Telephone | 2692735000 |
| Mailing Fax Number | 2692739456 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
6401009833 | MI | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 6301012837 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1708146 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346702966 | Stacie Burnett Carlson | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-04-02 |
| 1548412398 | Stacie Carlson | Speech-Language Pathologist | 520 S 1st Ave, Sioux Falls, SD 57104-6902 | 2008-10-10 |
| Street Address |
210 S MAIN STREET |
| City | THREE RIVERS |
| State | MI |
| Zip Code | 49093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013174242 | Sara Ann Finch Speicher | Social Worker | 210 S Main Street, Three Rivers, MI 49093 | 2008-05-16 |
| 1205008133 | Jamilee Ann Hawn | Psychologist | 210 S Main Street, Three Rivers, MI 49093 | 2008-04-01 |
| 1639361454 | Kristi Sue Spoelma | Counselor | 210 S Main Street, Three Rivers, MI 49093 | 2007-08-15 |
| 1700951910 | Theresa Ann Camburn | Social Worker | 210 S Main Street, Three Rivers, MI 49093 | 2006-11-22 |
| 1588759674 | Marwan S Tabbara | Psychiatry & Neurology | 210 S Main Street, Three Rivers, MI 49093 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366833865 | Brandy Peterson | Technician/Technologist | 18511 South River Rd, Three Rivers, MI 49093 | 2015-02-05 |
| 1073933958 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 800 S Us Highway 131 Ste A, Three Rivers, MI 49093 | 2014-04-18 |
| 1184927865 | Autumn Brooke Walton | Counselor | 30 N. Main St., Three Rivers, MI 49093 | 2010-12-17 |
| 1972730877 | Peggy Cahue-kuipers | Counselor | 1020 Millard, Three Rivers, MI 49093 | 2009-06-18 |
| 1215101530 | Raelene Mckeon Kent | Pediatrics | 601 S. Us 131, Three Rivers, MI 49093 | 2008-04-17 |
| 1407043722 | Assisted Living Concepts Inc | Assisted Living Facility | 1215 Ne Elm Street, Three Rivers, MI 49093 | 2007-10-01 |
| 1205047552 | Judith Anderson | Psychologist | 131 Enterprise St, Three Rivers, MI 49093 | 2007-05-25 |
| 1619013240 | Michael Angelo Cucci | Dentist | 221 North Hooker Ave, Three Rivers, MI 49093 | 2007-01-30 |
| 1659421204 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 800 S Us 131, Three Rivers, MI 49093 | 2007-01-12 |
| 1679622401 | Gail Marjorie Woods | Dentist | 57175 North Main Street, Three Rivers, MI 49093 | 2007-01-10 |
| Find all providers in zip 49093 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992101190 | K2a Counseling Services LLC | Counselor | 716 W Michigan Ave, Three Rivers, MI 49093-2133 | 2014-11-15 |
| 1376539031 | Margaret A Cook | Counselor | 210 S Main St, Three Rivers, MI 49093-1624 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1619578549 | Joy Love Telehealth | Counselor | 444 Beach Farm Cir, Highland, MI 48356 | 2020-11-06 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1659971802 | Lauren Antoinette Long | Counselor | 732 E Grand Blanc Rd, Grand Blanc, MI 48439-1333 | 2020-10-27 |
| 1811596570 | Cynthia Fulkerth | Counselor | 124 W Gates St Ste 203, Bruce Twp, MI 48065-4493 | 2020-10-22 |
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | THREE RIVERS |
| Zip Code | 49093 |
Please comment or provide details below to improve the information on MS. STACIE ELIZABETH 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.