Individual provider Active NPI

Karey Larsen, LAC

  • Counselor
  • Scottsdale, AZ
National Provider Identifier
1053063131
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LAC7175-T Issued in AZ
Practice address
8149 N 87TH PL
Scottsdale, AZ 85258-4399
Phone
(424) 653-6672
NPI assigned
Jan 20, 2022
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC7175-T AZ Primary

Addresses

Primary practice location

8149 N 87TH PL
Scottsdale, AZ 85258-4399

Mailing address

8375 E Via de Ventura Apt B278
Scottsdale, AZ 85258-3143
Phone (702) 672-6182

Other practice location 1

3651 E Baseline Rd Ste E222
Gilbert, AZ 85234-2689
Phone (424) 653-6672

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL scottsdale

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC7175-TAZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy With Karey LLC Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1053063131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8375 E VIA DE VENTURA APT B278",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583143",
            "telephone_number": "702-672-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8149 N 87TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584399",
            "telephone_number": "424-653-6672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 E Baseline Rd Ste E222",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342689",
            "country_code": "US",
            "telephone_number": "424-653-6672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "KAREY",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC7175-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "scottsdale",
            "affiliation": "N",
            "address_1": "8149 N 87th Pl",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852584399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.