Healthcare Provider Details

I. General information

NPI: 1598930109
Provider Name (Legal Business Name): ANNE CARLSEN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 20TH ST SW
JAMESTOWN ND
58401-7500
US

IV. Provider business mailing address

2200 20TH ST SW
JAMESTOWN ND
58401-7500
US

V. Phone/Fax

Practice location:
  • Phone: 701-952-5142
  • Fax: 701-952-1450
Mailing address:
  • Phone: 701-952-5142
  • Fax: 701-952-1450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE NELSON
Title or Position: CEO
Credential:
Phone: 701-952-5195