Active NPI
Joyce Larson
- Marriage & Family Therapist
- Boulder, CO
National Provider Identifier
1104235779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTC.0013765
- Practice address
- 1190 S Lashley LN
Boulder, CO 80305 - Phone
- (316) 655-2971
- NPI assigned
- Aug 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 2586 | KS | |
| Marriage & Family Therapist | 106H00000X | MFTC.0013765 | CO | Primary |
Addresses
Primary practice location
1190 S Lashley LN
Boulder, CO 80305
Mailing address
8234 Moss Cir
Arvada, CO 80007-6717
Phone (316) 655-2971
Other practice location 1
229 S Dellrose St
Wichita, KS 67218-1411
Phone (316) 655-2971
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFTC.0013765 | CO | MD | Marriage & Family Therapist |
| 2586 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544659200000",
"number": "1104235779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8234 MOSS CIR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800076717",
"telephone_number": "316-655-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 S LASHLEY LN",
"city": "BOULDER",
"state": "CO",
"postal_code": "80305",
"telephone_number": "316-655-2971"
}
],
"practiceLocations": [
{
"address_1": "229 S Dellrose St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672181411",
"country_code": "US",
"telephone_number": "316-655-2971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "JOYCE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2018-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "2586",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "MFTC.0013765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.