Organization Active NPI

Larsen Counseling PLLC

  • Clinical Social Worker
  • Fruitland, ID
National Provider Identifier
1003437658
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LARSEN COUNSELING PLLC
Practice address
7665 Custer Rd
Fruitland, ID 83619-5039
Phone
(208) 550-0222
NPI assigned
May 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Frankie D. Larsen, LCSWNPI 1669609020
Title
Owner
Phone
(208) 550-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7665 Custer Rd
Fruitland, ID 83619-5039

Mailing address

7665 Custer Rd
Fruitland, ID 83619-5039
Phone (208) 550-0222

Other names 1

  • Above the Clouds Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200521000535 ID Part B Supplier - Clinic/Group Practice 6709217078 Receives reassigned benefits from 1 practitioner
Practice locations: Fruitland, ID
O20201119001250 OR Part B Supplier - Clinic/Group Practice 6709217078 Receives reassigned benefits from 1 practitioner
Practice locations: Ontario, OR

National Provider Directory

National Provider Directory

Locations

2209 N Whitley Dr
Fruitland, ID 83619
Phone (208) 271-9362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1003437658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 CUSTER RD",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836195039",
            "telephone_number": "208-550-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 CUSTER RD",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836195039",
            "telephone_number": "208-550-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSEN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-550-0222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Above the Clouds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fruitland, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.