| Kirsten Lisa Carlson, LPC | |
|
323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | |
| (920) 746-0510 | |
| Not Available |
| Full Name | Kirsten Lisa Carlson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 17 Years |
| Location | 323 S 18th Ave, Sturgeon Bay, 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 |
|---|---|---|---|
| 1356063614 | NPI | - | NPPES |
| 101YP2500X | Medicaid | WI | |
| 2515000OOX | Other | CRISIS INTERVENTION TAXONOMY | |
| 101YM0800X | Medicaid | CO | |
| 101YP2500X | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5978-125 (Wisconsin) | Primary |
| 101YM0800X | Counselor - Mental Health | 0006368 (Colorado) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Door County Memorial Hospital | 5395735088 | 76 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Lisa Carlson, LPC 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 Ph: (920) 746-0510 | Kirsten Lisa Carlson, LPC 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 Ph: (920) 746-0510 |
Kristine Kelly Konrad, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-7113 | |
Mrs. Amy L Jahnke, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 S Madison Ave, Suite 3, Sturgeon Bay, WI 54235 Phone: 920-743-4428 | |
Mrs. Cassandra Schraft, M.S.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-2350 Fax: 920-746-2439 | |
Susan M Exworthy, LCSW CSAC Counselor Medicare: Medicare Enrolled Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Scott A Dadam, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Nebraska St, Sturgeon Bay, WI 54235 Phone: 920-746-2336 Fax: 920-746-2439 | |
Mallory Short, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3320 Park Dr, Sturgeon Bay, WI 54235 Phone: 920-255-8068 |