Wesley Willard Larson, MS LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

275193-3902 Issued in UT

Practice address

190 E Center St
Logan, UT 84321-4607

Phone

(435) 752-1976

Fax

(435) 755-6707

NPI assigned

Sep 4, 2013

Last updated

Sep 4, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Family Institute of Northern Utah

  • Marriage & Family Therapist
  • Logan, UT
  • NPI 1427494244
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1083049506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E CENTER ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214607",
            "telephone_number": "435-752-1976",
            "fax_number": "435-755-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E CENTER ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214607",
            "telephone_number": "435-752-1976",
            "fax_number": "435-755-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "WESLEY",
        "middle_name": "WILLARD",
        "name_prefix": "Mr.",
        "credential": "MS LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "275193-3902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "275193-3902",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Scott Larsen, D.D.S. M.S.
• Brad J Larson, MD
• Joyce Gunnell Larson
• Tate Kennedy Larson
• Todd Kristian Larson, PT
• Stacie Elise Later
• Patricia Law, BA
• Marc Lawson, P.A.-C
• Ilene F Lazenby
• Brenda Elizabeth Lazzari

• Mental Health Counselor in Logan, UT
• Providers in Logan, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.