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DIANA CARLSON MA
NPI 1023441920
Marriage & Family Therapist in Tumwater, WA

Active since August 14, 2013Opted out of Medicare · through Jan 1, 2028
950 EBBETS DR SW, TUMWATER, WA 98512(360) 515-2888 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2021, Jun 20, 2019 (2 updates tracked since 2019).

About Diana Carlson Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA CARLSON MA (NPI 1023441920) is an individual marriage & family therapist in Tumwater, Washington, licensed in Washington (60969570) and active in the NPI registry since August 2013. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1023441920
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDIANA CARLSONCredential: MA
Location Address950 EBBETS DR SWTumwater, WA 98512-4609
Mailing Address950 Ebbets Dr SwTumwater, WA 98512-4609 · (360) 515-2888
Phone(360) 515-2888
Sole ProprietorYes
Enumeration DateAugust 14, 2013
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1023441920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WA · 60969570
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
950 EBBETS DR SW, Tumwater, WA 98512
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Diana Carlson Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Carlson's NPI number?

The NPI number for Diana Carlson is 1023441920. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Diana Carlson located?

Diana Carlson practices at 950 Ebbets Dr SW, Tumwater, WA 98512. The listed phone number is (360) 515-2888.

What is Diana Carlson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Diana Carlson enrolled in Medicare?

No. Diana Carlson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Diana Carlson was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.