Active NPI
Larissa Severson, LMHC, CN
- Mental Health Counselor
- Kenmore, WA
National Provider Identifier
1104554898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6126 NE Bothell Way Uppr
Kenmore, WA 98028-8939 - Phone
- (206) 413-8308
- NPI assigned
- Aug 10, 2022
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Nutritionist | 133N00000X |
Addresses
Primary practice location
6126 NE Bothell Way Uppr
Kenmore, WA 98028-8939
Mailing address
2745 California Ave SW Apt 401
Seattle, WA 98116-2515
Phone (360) 789-6071
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1104554898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2745 CALIFORNIA AVE SW APT 401",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981162515",
"telephone_number": "360-789-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6126 NE BOTHELL WAY UPPR",
"city": "KENMORE",
"state": "WA",
"postal_code": "980288939",
"telephone_number": "206-413-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERSON",
"first_name": "LARISSA",
"credential": "LMHC, CN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.