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MARY L CARLSON MS, LPC
NPI 1679021166
Counselor - Professional in Fort Worth, TX

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment
1300 S UNIVERSITY DR STE 306, FORT WORTH, TX 76107(844) 824-8775 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2024, Oct 7, 2022, Sep 14, 2016 (3 updates tracked since 2016).

About Mary L Carlson Ms, Lpc NPPES

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

MARY L CARLSON MS, LPC (NPI 1679021166) is an individual professional provider in Fort Worth, Texas, licensed in Texas (79257) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1679021166
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY L CARLSONCredential: MS, LPC
Location Address1300 S UNIVERSITY DR STE 306Fort Worth, TX 76107-5746
Mailing Address308 S Friendswood Dr Ste 200Friendswood, TX 77546-3989 · (844) 824-8775
Phone(844) 824-8775
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 14, 2016
Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
✔ NPI 1679021166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in TX · 79257✔ Licensed in MO · 2014030086
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 79257 (TX)
1300 S UNIVERSITY DR STE 306, Fort Worth, TX 76107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary L Carlson Ms, 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.

PECOS PAC ID749621969
PECOS Enrollment IDI20240517003154
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

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

DR. LYCHENE NMANKAN WOLO SAAH LPC
Counselor (Professional)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
MRS. JENNIFER R LOYD MS, NCC, LPC
Counselor (Mental Health)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
KELLY L HUNTER PSYD
Psychologist
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
ERIKA ALESANDRA MARTINEZ LPC
Counselor (Professional)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
JAISHREE RAGHAVAN APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
IAN KEITH PAGDILAO LPC, NCC
Counselor (Professional)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
AMBER GORDON LCSW
Social Worker (Clinical)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775
DANIELLE MARIE MINGS-MCDANIEL LCSW
Social Worker (Clinical)
1300 S UNIVERSITY DR STE 306
FORT WORTH, TX 76107
Tarrant County (844) 824-8775

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 Mary Carlson's NPI number?

The NPI number for Mary Carlson is 1679021166. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Mary Carlson located?

Mary Carlson practices at 1300 S University Dr Ste 306, Fort Worth, TX 76107. The listed phone number is (844) 824-8775.

What is Mary Carlson's specialty?

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

Is Mary Carlson enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Carlson accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Texas and 3 other insurers list Mary 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 Mary Carlson was last updated on July 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.