CYNTHIA JEAN CARLSON MA, LPC
NPI 1427361427
Counselor - Professional in Grafton, WI
About Cynthia Jean Carlson Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CYNTHIA JEAN CARLSON MA, LPC (NPI 1427361427) is an individual professional provider in Grafton, Wisconsin, licensed in Wisconsin (4492-125) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cynthia Jean Carlson Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Cynthia Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wausau, WI 54401
- Reassigned Medicare billing, Wisconsin enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cynthia Carlson's NPI number?
The NPI number for Cynthia Carlson is 1427361427. It was assigned to this individual provider in the NPPES registry on July 19, 2010.
Where is Cynthia Carlson located?
Cynthia Carlson practices at 101 Falls Rd Ste 600, Grafton, WI 53024. The listed phone number is (920) 227-5929.
What is Cynthia Carlson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Cynthia Carlson enrolled in Medicare?
Yes. Cynthia Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Cynthia Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Carlson reassigns Medicare benefits to Behavioral Health Clinic, LLC (Wausau, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cynthia Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cynthia Carlson accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Network Health and Quartz and 2 other insurers list Cynthia Carlson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cynthia Carlson was last updated on April 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Cynthia Jean Carlson, MA, LPC · NPI 1427361427
Professional provider in Grafton, Wisconsin. Individual provider, active in the CMS NPPES registry since July 19, 2010.
## Identity
- **NPI:** 1427361427 (Entity type: Individual)
- **Enumerated:** July 19, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 4492-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 FALLS RD STE 600, Grafton, WI 53024-2612
- **Phone:** (920) 227-5929
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Behavioral Health Clinic, LLC (NPI 1831442359, Wausau, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** April 7, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1427361427) · Data from the CMS NPPES public registry.