STACY MARIE CARLSON MS, CRC, LPC-IT
NPI 1659890416
Counselor - Professional in Portage, WI

Active since September 13, 2017
322 DEWITT ST, PORTAGE, WI 53901(608) 280-2700 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Marie Carlson Ms, Crc, Lpc-it NPPES

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

STACY MARIE CARLSON MS, CRC, LPC-IT (NPI 1659890416) is an individual professional provider in Portage, Wisconsin, licensed in Wisconsin (3232) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1659890416
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTACY MARIE CARLSONCredential: MS, CRC, LPC-IT
Location Address322 DEWITT STPortage, WI 53901-2114
Mailing Address25 Kessel Ct Ste 105Madison, WI 53711-6227
Sole ProprietorYes
Enumeration DateSeptember 13, 2017
NPI 1659890416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 3232
322 DEWITT ST, Portage, WI 53901

Other Providers at the Same Location NPPES 16

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

Case Manager/Care Coordinator
322 DEWITT ST
PORTAGE, WI 53901
Case Manager/Care Coordinator
322 DEWITT ST
PORTAGE, WI 53901
Case Manager/Care Coordinator
322 DEWITT ST
PORTAGE, WI 53901
Case Manager/Care Coordinator
322 DEWITT ST
PORTAGE, WI 53901
Registered Nurse
322 DEWITT ST
PORTAGE, WI 53901
Counselor (Mental Health)
322 DEWITT ST
PORTAGE, WI 53901
Case Manager/Care Coordinator
322 DEWITT ST
PORTAGE, WI 53901
Case Manager/Care Coordinator
322 DEWITT ST
PORTAGE, WI 53901

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 1659890416. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Stacy Carlson located?

Stacy Carlson practices at 322 Dewitt St, Portage, WI 53901. The listed phone number is (608) 280-2700.

What is Stacy Carlson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Stacy Carlson was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.