STEPHANIE CARLSON (NPI# 1750806949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750806949 |
| Entity Type | Individual |
| Full Name | STEPHANIE CARLSON |
| Practice Address |
768 Pleasant Valley Rd Diamond Springs CA 95619-9260 |
| Practice Telephone | (530) 621-6130 |
| Mailing Telephone | 5306216130 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
168651 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385138 | Stephanie Rose Carlson | Physical Therapist | 1733 H St Ste 400, Blaine, WA 98230-5107 | 2020-08-07 |
| 1669936035 | Stephanie Carlson | Dietitian, Registered | 5237 W Citruswood Dr, Post Falls, ID 83854-5198 | 2019-01-29 |
| 1083147417 | Stephanie Carlson | Student in an Organized Health Care Education/Training Program | 1263 Weybridge Rd, Columbus, OH 43220-8104 | 2017-04-03 |
| 1205231511 | Stephanie Carlson | Counselor | 288 Lyman St Ste 3, Westborough, MA 01581-2633 | 2014-10-29 |
| 1427463249 | Stephanie Carlson | Occupational Therapist | 1820 Hillcrest Dr Ste B, Bellevue, NE 68005-3636 | 2014-07-01 |
| 1457619546 | Stephanie Carlson | Health Educator | 75 Gallis Hill Rd, Kingston, NY 12401-7505 | 2012-04-26 |
| 1912217894 | Stephanie A Carlson | Marriage & Family Therapist | 4244 28th Ave S, Minneapolis, MN 55406-3123 | 2010-10-13 |
| 1831421833 | Stephanie Lynn Carlson | Massage Therapist | 211 Fayette St, Ste 13, Morgantown, WV 26505-5605 | 2010-02-02 |
| 1497985956 | Stephanie Lynn Carlson | Massage Therapist | 1897 Elhardt St, Camano Island, WA 98282-6320 | 2009-07-19 |
| 1043818735 | Stephanie Ann Carlson | Licensed Practical Nurse | 1801 W 13th Ave, Denver, CO 80204-2407 | 2020-10-14 |
| Street Address |
768 PLEASANT VALLEY RD |
| City | DIAMOND SPRINGS |
| State | CA |
| Zip Code | 95619-9260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215019526 | Mary Ellen Kanze | Marriage & Family Therapist | 768 Pleasant Valley Rd, Suite 304, Diamond Springs, CA 95619-9260 | 2006-10-19 |
| 1578173753 | Tommi Sohn | Marriage & Family Therapist | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2020-08-03 |
| 1831716711 | Dindy Dehli Williams | Case Manager/Care Coordinator | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2020-06-26 |
| 1831740174 | Emily Dawes | Counselor | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2019-09-27 |
| 1598317851 | Christina Walters | Counselor | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2019-07-16 |
| 1518519685 | Laurie Ann Hicklin | Counselor | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2019-07-09 |
| 1982161949 | Danielle Nichole Bogan | Marriage & Family Therapist | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2019-02-26 |
| 1760955041 | James Barentt Jr. | Counselor | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2019-01-09 |
| 1770060337 | Alicia A Tousley | Licensed Vocational Nurse | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2018-07-25 |
| 1932606621 | Ruth So So | Counselor | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2018-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265916092 | John Bruce Quantrille | Licensed Vocational Nurse | 555 Arlette Arlette Lane, Diamond Springs, CA 95619 | 2018-09-18 |
| 1831611763 | Paul Canova Boice | Counselor | 3120 Freeboard Drive, Suite 102, West Sacramento, CA 95619 | 2017-07-12 |
| 1912397126 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4229 Toyan Dr, Diamond Springs, CA 95619 | 2015-01-26 |
| 1457699654 | Emma Curtiss | Social Worker | 768 Pleasant Valley Rd., Diamond Springs, CA 95619 | 2013-01-22 |
| 1568715704 | Cheryl Turnboo | Behavioral Analyst | 337 Griffith Road, Diamond Springs, CA 95619 | 2012-10-25 |
| 1528341039 | Michaela Renee Johnson | Counselor | 4224 Fowler Ln, Diamond Springs, CA 95619 | 2011-09-21 |
| 1518178193 | El Dorado County Mental Health | Clinic/Center | 768 Pleasant Valley Road, Suite 201, Diamond Springs, CA 95619 | 2007-05-24 |
| 1760694707 | John Carberry II | Counselor | 6692-b Merchandise Way, Diamond Springs, CA 95619 | 2007-05-03 |
| 1144343609 | Sierra Child and Family Services | Community/Behavioral Health | 4250 Fowler Ln. Suite 204, Diamond Springs, CA 95619 | 2007-04-09 |
| 1689790404 | Celia Sabra Mason-douglas | Marriage & Family Therapist | 6201 Enterprise Dr, Diamond Springs, CA 95619 | 2007-03-22 |
| Find all providers in zip 95619 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639651623 | Anthony Pinatelli | Counselor | 500 Racquet Way, Diamond Springs, CA 95619-9490 | 2018-09-05 |
| 1265923270 | Curtis Ludwick | Counselor | 484 Main St Ste 4, Diamond Springs, CA 95619-9101 | 2018-05-24 |
| 1639553845 | Kristin Arenz | Counselor | 7020 Service Ct Apt B, Diamond Springs, CA 95619-9279 | 2015-07-17 |
| 1639719420 | Samantha Pollotta | Counselor | 484 Main St Ste 4, Diamond Springs, CA 95619-9101 | 2020-01-09 |
| 1811476898 | Michelle Green | Counselor | 484 Main St Ste 4, Diamond Springs, CA 95619-9101 | 2018-08-09 |
| 1790276731 | Erin J Barker | Counselor | 484 Main St, Diamond Springs, CA 95619-9100 | 2018-05-25 |
| 1427574045 | Shirley White | Counselor | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2017-08-15 |
| 1730604091 | Nora Mae Mays | Counselor | 768 Pleasant Valley Rd Ste 201, Diamond Springs, CA 95619-9260 | 2017-08-08 |
| 1912280702 | Melissa Saetern | Counselor | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2011-09-28 |
| 1346552296 | Daiquari Ross | Counselor | 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 | 2010-07-08 |
| Find all providers in DIAMOND SPRINGS | ||||
| City | DIAMOND SPRINGS |
| Zip Code | 95619 |
Please comment or provide details below to improve the information on STEPHANIE 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.