Carlos Alfredo Larios

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401018549 Issued in MI

Practice address

207 1St St
Jackson, MI 49201-2102

Phone

(517) 998-4673

Fax

(517) 998-0005

NPI assigned

Aug 25, 2020

Reactivated

Nov 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A Healing Place, LLC

  • Psychologist
  • Jackson, MI
  • NPI 1275885881
  NPD
• Rooted Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lansing, MI
  • NPI 1174043848
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1023621448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N BERRIEN ST",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492241832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012102",
            "telephone_number": "517-998-4673",
            "fax_number": "517-998-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIOS",
        "first_name": "CARLOS",
        "middle_name": "ALFREDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "deactivation_date": "2020-09-23",
        "reactivation_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401018549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesserie Janelle Lao, CRNA
• Alia Lapina
• Brian Scott Lapinski, D.O.
• Gregory D Lapinski, M.D.
• Emily Marie Lapointe
• Howard C Larky, DO
• Larry E Jennings MD PC
• Kortani Larson
• Michele Laskey
• Lindsey Shae Lassila

• Mental Health Counselor in Jackson, MI
• Providers in Jackson, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.