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PETER CHARLES CARLSON SWLC
NPI 1922818053
Social Worker - Clinical in Kalispell, MT

Active since January 10, 2025PECOS EnrolledAccepts Medicare Assignment
431 1ST AVE W, KALISPELL, MT 59901(406) 471-4954 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Peter Charles Carlson Swlc NPPES

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

PETER CHARLES CARLSON SWLC (NPI 1922818053) is an individual clinical provider in Kalispell, Montana, licensed in Montana (BBH-SWLC-LIC-59064) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922818053
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePETER CHARLES CARLSONCredential: SWLC
Location Address431 1ST AVE WKalispell, MT 59901-4959
Mailing Address2933 Rufenach LnKalispell, MT 59901-6776 · (406) 471-4954
Phone(406) 471-4954
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1922818053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MT · BBH-SWLC-LIC-59064
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
431 1ST AVE W, Kalispell, MT 59901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans.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

Peter Charles Carlson Swlc 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 ID5799270682
PECOS Enrollment IDI20251218000928
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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Flathead Community Health Center, Inc.
1.1 mi
Federally Qualified Health Center (FQHC)
1935 3RD AVE E
Kalispell, MT 59901
  • Reassigned Medicare billing, Montana enrollment
  • 21 clinicians in this Medicare group
NPI 1306433511 (406) 751-8108

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.81 – $172.26
Typical copayment $0.00 (range $14.20 – $43.06)
Most-billed visit code NA
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

ANGELA OTTO LAC
Counselor (Addiction (Substance Use Disorder))
431 1ST AVE W
KALISPELL, MT 59901
Flathead County (406) 607-4971
MS. WENDY KARYN MCFADDEN LCSW
Counselor (Mental Health)
431 1ST AVE W
KALISPELL, MT 59901
Flathead County (406) 607-4954
MR. PAUL JAMES KENNEY
Counselor (Addiction (Substance Use Disorder))
431 1ST AVE W
KALISPELL, MT 59901
Flathead County (406) 607-4971
SHANNON AMARA WALK
Social Worker (Clinical)
431 1ST AVE W
KALISPELL, MT 59901
Flathead County (406) 471-2454
MALLORY PHILLIPS MSW
Social Worker (Clinical)
431 1ST AVE W
KALISPELL, MT 59901
Flathead County (406) 607-4900

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 Peter Carlson's NPI number?

The NPI number for Peter Carlson is 1922818053. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Where is Peter Carlson located?

Peter Carlson practices at 431 1st Ave W, Kalispell, MT 59901. The listed phone number is (406) 471-4954.

What is Peter Carlson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Peter Carlson enrolled in Medicare?

Yes. Peter 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 Peter Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Carlson reassigns Medicare benefits to Flathead Community Health Center, Inc. (Kalispell, MT). 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 Peter Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Carlson accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and PacificSource Health Plans list Peter 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 Peter Carlson was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.