CAROL B CARLSON (NPI# 1922513639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922513639 |
| Entity Type | Individual |
| Full Name | CAROL B CARLSON |
| Credential | LMHC |
| Practice Address |
490 Cross Keys Office Park Fairport NY 14450-3506 |
| Mailing Address |
38 Georgetown Ln Fairport NY 14450-3361 |
| Practice Telephone | 5854660545 |
| Mailing Telephone | 5854660545 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
006557 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 University Ave, Rochester, NY 146071653 | 5856544456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669634408 | Carol Sue Carlson | Physical Medicine & Rehabilitation | 1200 N 10th St W, Suite A, Altoona, WI 54720-2639 | 2008-07-01 |
| 1710102595 | Carol Ann Carlson | Psychologist | 1700 S El Camino Real, Suite 505, San Mateo, CA 94402-3047 | 2007-04-16 |
| 1861572729 | Carol Carlson | Psychologist | 20 Century Hill Drive, Suite 202, Latham, NY 12110 | 2006-10-16 |
| 1194823286 | Carol M Carlson | Pediatrics | 3955 Parklawn Ave, Ste 120, Edina, MN 55435-5655 | 2006-09-20 |
| Street Address |
490 CROSS KEYS OFFICE PARK |
| City | FAIRPORT |
| State | NY |
| Zip Code | 14450-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255447751 | Robert James Valenti | Psychologist | 490 Cross Keys Office Park, Fairport, NY 14450-3506 | 2006-08-21 |
| 1548733850 | Jonatha Taylor-walker | Social Worker | 490 Cross Keys Office Park, Fairport, NY 14450-3506 | 2019-01-09 |
| 1740332915 | Virginia Ann Wohltmann | Psychiatry & Neurology | 490 Cross Keys Office Park, Fairport, NY 14450-3506 | 2007-01-17 |
| 1124134226 | Linda R Rapp-bennett | Psychologist | 490 Cross Keys Office Park, Fairport, NY 14450 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1477011773 | Meredith Noel Austin-appleton | Pediatrics | Pediatric Urgent Care of Rochester, 6687 Pittsford Palmyra Rd, Fairport, NY 14450 | 2019-03-05 |
| 1659852358 | Linda Demme | Registered Nurse | 29 Pleasant St, Fairport, NY 14450 | 2018-08-22 |
| 1679075154 | Tharaha Thavakumar | Behavior Technician | 6 N. Main Street, Fairport, NY 14450 | 2018-03-01 |
| 1295244309 | Comprehensive Medicine, Pllc | Psychiatry & Neurology | 762 Crosskeys Office Park, Fairport, NY 14450 | 2017-09-21 |
| 1104353846 | Courtney Chapman | Student in an Organized Health Care Education/Training Program | 4 Valais Ct, Fairport, NY 14450 | 2017-05-12 |
| 1477947786 | Preston Orthodontics, Pllc | Dentist | 2154 Fairport Nine Mile Point Road, Fairport, NY 14450 | 2015-03-25 |
| 1154724334 | Amanda Corrisa Kalsih | Registered Nurse | 95 Evergreen Circle, Fairport, NY 14450 | 2014-10-02 |
| 1295172153 | Pamela Lea Alexander | Skilled Nursing Facility | 41 O,connor Road, Monroe #1 Boces, Fairport, NY 14450 | 2013-05-31 |
| 1255682084 | Lauren Lashomb | Specialist | 6 North Main Street, Fairport, NY 14450 | 2012-09-19 |
| Find all providers in zip 14450 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255899 | Stephanie Janet Catlin-rakoski | Counselor | 1387 Fairport Rd Bldg 500, Ste 540, Fairport, NY 14450 | 2019-09-23 |
| 1306406616 | Anna Natalie Ladelfa | Counselor | 61 Hulburt Ave, Fairport, NY 14450-2407 | 2019-06-18 |
| 1790132314 | Sara Liedtke | Counselor | 1387 Fairport Rd Ste 504, Fairport, NY 14450-2003 | 2016-05-24 |
| 1205127685 | Chad Everett Scott | Counselor | 102 West Ave, Fairport, NY 14450-2124 | 2011-04-20 |
| 1093024036 | Katherine J. Steblen | Counselor | 450 Perinton Hills Office Park, Fairport, NY 14450-3609 | 2010-09-24 |
| 1083937288 | Tiffany Laurice Collins | Counselor | 1349 Ayrault Rd, #93, Fairport, NY 14450-8942 | 2010-03-02 |
| 1962612044 | Patricia Corona Dirisio | Counselor | 315 Packetts Lndg, Fairport, NY 14450-1567 | 2007-05-23 |
| 1841407236 | Martha Howe Rossi | Counselor | 2 Woodcliff Ter, Fairport, NY 14450-4208 | 2007-05-17 |
| 1427146992 | Patricia A Ronsvalle | Counselor | 85 Matthew Dr, Fairport, NY 14450-9338 | 2006-10-10 |
| 1487661864 | Paul I. Schwartzman | Counselor | 307 Packetts Lndg, Fairport, NY 14450-1567 | 2006-08-01 |
| Find all providers in FAIRPORT | ||||
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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.