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STACY MAE CARLSON
NPI 1417446824
Counselor - Addiction (Substance Use Disorder) in Thief River Falls, MN

Active since May 02, 2018
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701(218) 683-4318(218) 683-4515 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacy Mae Carlson NPPES

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

STACY MAE CARLSON (NPI 1417446824) is an individual addiction (substance use disorder) provider in Thief River Falls, Minnesota, licensed in Minnesota (304338) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1417446824
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACY MAE CARLSON
Location Address120 LABREE AVE SThief River Falls, MN 56701-2819
Mailing Address120 Labree Ave SThief River Falls, MN 56701-2819 · (218) 683-4318 · Fax (218) 683-4515
Phone(218) 683-4318
Fax(218) 683-4515
Sole ProprietorNo
Enumeration DateMay 2, 2018
✔ NPI 1417446824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 304338
120 LABREE AVE S, Thief River Falls, MN 56701
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Other Providers at the Same Location NPPES 20

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

JENNIFER ANN MANNING LICSW
Social Worker (Clinical)
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 683-4351
DR. DANIELLE ALENE JORDAN PH.D., L.P.
Psychologist (Clinical)
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 683-4351
DEANNA KAY SKAAR RD, LD
Dietitian, Registered
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 683-4441
MARY BREITENBUCHER PHD, LP
Psychologist
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 683-4351
DR. MARK TSIBULSKY M.D.
Psychiatry & Neurology (Psychiatry)
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 683-4351
ALISON LEIGH TOREN PHD, LP
Psychologist (Clinical)
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 681-6341
MS. PATTI NORMAN
Counselor (Addiction (Substance Use Disorder))
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 683-4341
SANFORD MEDICAL CENTER THIEF RIVER FALLS
Pharmacy (Institutional Pharmacy)
120 LABREE AVE S
THIEF RIVER FALLS, MN 56701
Pennington County (218) 681-4240

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 Stacy Carlson's NPI number?

The NPI number for Stacy Carlson is 1417446824. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Stacy Carlson located?

Stacy Carlson practices at 120 Labree Ave S, Thief River Falls, MN 56701. The listed phone number is (218) 683-4318.

What is Stacy Carlson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacy Carlson was last updated on May 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.