Individual provider Active NPI

Richard Girard Larson Jr., LCPC

  • Professional Counselor
  • Wheaton, IL
National Provider Identifier
1043286370
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.003363 Issued in IL
Practice address
26W226 Grand Ave
Wheaton, IL 60187-2968
Phone
(331) 551-2224
Fax
(630) 344-0984
NPI assigned
Feb 27, 2006
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180003363 IL
Professional Counselor 101YP2500X 180.003363 IL Primary

Addresses

Primary practice location

26W226 Grand Ave
Wheaton, IL 60187-2968

Mailing address

26W226 Grand Ave
Wheaton, IL 60187-2968
Phone (331) 551-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417001048 IL Practitioner - Mental Health Counselor 1153776091 Practice locations: Wheaton, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 W226 Grand Ave
Wheaton, IL 60187-2968
Phone (331) 551-2224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.003363ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1043286370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W226 GRAND AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872968",
            "telephone_number": "331-551-2224",
            "fax_number": "630-344-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W226 GRAND AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872968",
            "telephone_number": "331-551-2224",
            "fax_number": "630-344-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "RICHARD",
        "middle_name": "GIRARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003363",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.003363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.