MRS. PENNY CARLSON (NPI# 1811320906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811320906 |
| Entity Type | Individual |
| Full Name | MRS. PENNY CARLSON |
| Credential | M.S. LPC SUPERVISED |
| Practice Address |
317 N Hudson St Altus OK 73521-3709 |
| Mailing Address |
319 N Hudson St Altus OK 73521-3709 |
| Practice Telephone | 5804822809 |
| Practice Fax Number | 5804822820 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2014-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154568517 | Penny Carlson | Dietitian, Registered | 20 N Dewitt Ave, Clovis, CA 93612-0311 | 2009-01-07 |
| Street Address |
317 N HUDSON ST |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467757765 | Dianne Moore | Case Manager/Care Coordinator | 317 N Hudson St, Altus, OK 73521-3709 | 2011-01-18 |
| 1922420272 | Adrian Tyler King | Student in an Organized Health Care Education/Training Program | 317 N Hudson St, Altus, OK 73521-3709 | 2014-01-06 |
| 1245515600 | Beth Ann Ferguson | Case Manager/Care Coordinator | 317 N Hudson St, Altus, OK 73521-3709 | 2011-10-18 |
| 1649555475 | Harold Ray Blevins | Counselor | 317 N Hudson St, Altus, OK 73521-3709 | 2011-10-12 |
| 1770889537 | Susan Jean Hannah | Case Manager/Care Coordinator | 317 N Hudson St, Altus, OK 73521-3709 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982968723 | Kim A Hukill | Counselor | 946 E Elm St, Altus, OK 73521-4026 | 2012-06-26 |
| 1790049534 | Christie Lee Rogers | Counselor | 213 Lakeside Dr, Altus, OK 73521-2118 | 2012-06-26 |
| 1255653523 | Ethan Felix Hale | Counselor | 503 N Hudson St, Altus, OK 73521-3656 | 2010-02-26 |
| 1750470779 | Lia M Adams | Counselor | 810 N Julian St, Altus, OK 73521-2614 | 2006-10-11 |
| 1447269634 | Sandy Bourgeois | Counselor | 120 W Broadway St, Altus, OK 73521-3802 | 2006-08-05 |
| 1184669780 | Kristina L Mckune | Counselor | 118 W Broadway St Ste 102, Altus, OK 73521-3816 | 2006-06-18 |
| 1295342350 | Kolton Sanders | Counselor | 111 N Hudson St, Altus, OK 73521-3811 | 2020-09-23 |
| 1033736558 | Laura Ashley Snyder | Counselor | 115 N Hudson St, Altus, OK 73521-3811 | 2020-06-30 |
| 1598277808 | Jill Leighann Hodges | Counselor | 111 N Hudson St, Altus, OK 73521-3811 | 2017-10-26 |
| 1780195404 | Wendy Mae Clouse | Counselor | 111 N Hudson St, Altus, OK 73521-3811 | 2017-10-20 |
| Find all providers in ALTUS | ||||
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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.