KATHRYN QUINN CARLSON
NPI 1861147936
Counselor - Mental Health in Los Angeles, CA

Active since February 17, 2022PECOS EnrolledAccepts Medicare Assignment
3055 WILSHIRE BLVD STE 300, LOS ANGELES, CA 90010(213) 434-5697 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2024, Jun 23, 2023, Apr 19, 2022 and 2 more (5 updates tracked since 2022).

About Kathryn Quinn Carlson NPPES

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

KATHRYN QUINN CARLSON (NPI 1861147936) is an individual mental health provider in Los Angeles, California, licensed in California (132260) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861147936
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHRYN QUINN CARLSON
Location Address3055 WILSHIRE BLVD STE 300Los Angeles, CA 90010-1147
Mailing Address3055 Wilshire Blvd Ste 300Los Angeles, CA 90010-1147 · (213) 434-5697
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 17, 2022
Last NPPES UpdateApril 19, 20225 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
NPI 1861147936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 132260
Also ListedRehabilitation CounselorTaxonomy 225C00000X
3055 WILSHIRE BLVD STE 300, Los Angeles, CA 90010

Secondary Practice Location 1

Location 13055 Wilshire Blvd Ste 300Los Angeles, CA 90010-1147 · Phone (213) 434-5697

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

Kathryn Quinn Carlson 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 ID2466981634
PECOS Enrollment IDI20250203001056
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 20

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

Counselor (Mental Health)
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010
Marriage & Family Therapist
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010
Community/Behavioral Health
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010
Counselor (Professional)
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010
Day Training/Habilitation Specialist
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010
Licensed Vocational Nurse
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010
Case Manager/Care Coordinator
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010
Social Worker
3055 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90010

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 Kathryn Carlson's NPI number?

The NPI number for Kathryn Carlson is 1861147936. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Where is Kathryn Carlson located?

Kathryn Carlson practices at 3055 Wilshire Blvd Ste 300, Los Angeles, CA 90010. The listed phone number is (213) 434-5697.

What is Kathryn Carlson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathryn Carlson enrolled in Medicare?

Yes. Kathryn 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.

When was this NPI record last updated?

The NPPES record for Kathryn Carlson was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.