Individual provider Active NPI

Cassie Elise Larsen

  • Mental Health Counselor
  • Salt Lake City, UT
National Provider Identifier
1053299099
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5487216-6004 Issued in UT
Practice address
515 S 700 E Ste 1H
Salt Lake City, UT 84102-2801
Phone
(801) 604-1145
NPI assigned
Aug 26, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5487216-6004 UT Primary

Addresses

Primary practice location

515 S 700 E Ste 1H
Salt Lake City, UT 84102-2801

Mailing address

515 S 700 E Ste 1H
Salt Lake City, UT 84102-2801
Phone (801) 604-1145

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
5487216-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kensho Kai Wellness, PLLC Mental Health CurrentSince Sep 3, 2025 Accepting new patients

Locations

515 S 700 E
Ste 1H
Salt Lake City, UT 84102
Phone (801) 604-1145

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": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1053299099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 1H",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022801",
            "telephone_number": "801-604-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S 700 E STE 1H",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022801",
            "telephone_number": "801-604-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "CASSIE",
        "middle_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5487216-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.