Active NPI
Larsen Counseling PLLC
- Clinical Social Worker
- Fruitland, ID
National Provider Identifier
1003437658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Frankie D. Larsen, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.