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ANNE CARLSEN CENTER
NPI 1144582933
Intermediate Care Facility, Intellectual Disabilities in Jamestown, ND

Active since June 08, 2012CLIA 35D0655661 · Waiver
2200 20TH ST SW, JAMESTOWN, ND 58401(701) 952-5142 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2021, Feb 18, 2021 (2 updates tracked since 2021).

About Anne Carlsen Center NPPES

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

ANNE CARLSEN CENTER (NPI 1144582933) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Jamestown, North Dakota and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tim Eissinger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144582933
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameANNE CARLSEN CENTER
Location Address2200 20TH ST SWJamestown, ND 58401-7500
Mailing Address701 3rd Steeet NwJamestown, ND 58401 · (701) 252-3850
Phone(701) 952-5142
Organization SubpartNo
Authorized OfficialTim EissingerCeo · (701) 952-5187
Enumeration DateJune 8, 2012
Last NPPES UpdateMay 1, 20252 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1144582933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2200 20TH ST SW, Jamestown, ND 58401
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D0655661

Anne Carlsen Center For Children · Jamestown, ND
Active · expires Aug 31, 2026
CLIA Number35D0655661
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAmanda Serfoss
Laboratory Phone(701) 252-3850
Laboratory LocationAnne Carlsen Center For Children701 3rd St NW, Jamestown, ND 58401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANN BRUSCHER DPT
Physical Therapist
2200 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 952-5142
LAURIE SCHAUER
Speech-Language Pathologist
2200 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 952-5142
KOURTNEY WILLER SLP
Speech-Language Pathologist
2200 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 952-5142
AMANDA KATHLEEN MINDT MS, OTR/L
Occupational Therapist
2200 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 952-5142
ALEXANDRA NEVA
Physical Therapist
2200 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 952-5142
BROOKE SCHLEGEL SLP
Speech-Language Pathologist
2200 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 952-5142
SUE BEACH NP
Nurse Practitioner
2200 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 952-5142
MADELYN REINARTS SLP
Speech-Language Pathologist
2200 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 952-5142

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 Anne Carlsen Center's NPI number?

The NPI number for Anne Carlsen Center is 1144582933. It was assigned to this organization in the NPPES registry on June 8, 2012.

Where is Anne Carlsen Center located?

Anne Carlsen Center is located at 2200 20th St SW, Jamestown, ND 58401. The listed phone number is (701) 952-5142.

What is Anne Carlsen Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Anne Carlsen Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0655661) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Anne Carlsen Center was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.