| Cynthia Jean Carlson, MA, LPC | |
|
101 Falls Rd Ste 600, Grafton, WI 53024-2612 | |
| (920) 227-5929 | |
| Not Available |
| Full Name | Cynthia Jean Carlson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 20 Years |
| Location | 101 Falls Rd Ste 600, Grafton, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427361427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4492-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Behavioral Health Clinic Llc | 8628409885 | 41 |
| Entity Name | Behavioral Health Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831442359 PECOS PAC ID: 8628409885 Enrollment ID: O20200504002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Jean Carlson, MA, LPC 101 Falls Rd Ste 600, Grafton, WI 53024-2612 Ph: (920) 227-5929 | Cynthia Jean Carlson, MA, LPC 101 Falls Rd Ste 600, Grafton, WI 53024-2612 Ph: (920) 227-5929 |
Ms. Ashley Elizabeth Birkholz, CAPSW, SAC Counselor Medicare: Medicare Enrolled Practice Location: 1990 Wisconsin Ave Stop 2, Grafton, WI 53024 Phone: 262-421-7121 | |
Mrs. Sarah Francis Schneider, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1990 Wisconsin Ave, Grafton, WI 53024 Phone: 262-421-6405 | |
Christopher David Shoemaker, MED., NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1971 Washington St Ste 200, Grafton, WI 53024 Phone: 262-377-6276 | |
Danielle Mae M Dillenburg, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1990 Wisconsin Ave, Grafton, WI 53024 Phone: 262-421-7121 | |
Joseph M Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1930 Wisconsin Ave, Grafton, WI 53024 Phone: 262-377-3712 Fax: 262-376-9416 | |
Ms. Tami Feld, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Falls Rd Ste 210, Grafton, WI 53024 Phone: 262-233-1818 | |
Samantha Lynn Schommer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Cheyenne Ave Ste 200, Grafton, WI 53024 Phone: 262-689-9594 Fax: 262-421-8681 |