Active NPI
Kent Garth Larson, L.C.S.W.
- Professional Counselor
- Midvale, UT
National Provider Identifier
1073656906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 279663-3501
- Practice address
- 7321 South State Street
Suite a
Midvale, UT 84047-6105 - Phone
- (801) 878-4327
- Fax
- (801) 878-9280
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 279663-3501 | UT | Primary |
Addresses
Primary practice location
7321 South State Street
Suite a
Midvale, UT 84047-6105
Mailing address
7321 South State Street
Suite a
Midvale, UT 84047-6105
Phone (801) 878-4327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Utah School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7321 S State St
Suite a
Midvale, UT 84047-6105
Phone (801) 878-4327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Fairbourn LMFT, LLC | Current | Accepting new patients |
Locations
7321 S State St
Ste A
Midvale, UT 84047
Phone (801) 878-4327
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Midvale, UT
- NPI 1356826036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1073656906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7321 SOUTH STATE STREET",
"address_2": "SUITE A",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840476105",
"telephone_number": "801-878-4327",
"fax_number": "801-878-9280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7321 SOUTH STATE STREET",
"address_2": "SUITE A",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840476105",
"telephone_number": "801-878-4327",
"fax_number": "801-878-9280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "KENT",
"middle_name": "GARTH",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "279663-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.