Lukas Robert Lee Larson, SUDP/T

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

21851 84TH Ave S # 101
Kent, WA 98032-1958

Phone

(425) 687-7082

Fax

(425) 687-7352

NPI assigned

Feb 8, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• WCHS, Inc

  • Methadone Clinic
  • Bellingham, WA
  • NPI 1811592116
  NPD (past)
• WCHS, Inc.

  • Methadone Clinic
  • Kent, WA
  • NPI 1285772988
  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1104680206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21851 84TH AVE S # 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321958",
            "telephone_number": "425-687-7082",
            "fax_number": "425-687-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21851 84TH AVE S # 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321958",
            "telephone_number": "425-687-7082",
            "fax_number": "425-687-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LUKAS",
        "middle_name": "ROBERT LEE",
        "credential": "SUDP/T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysha Nicole Langlow, SLP
• Alona Mae P Lanoy-Hyde, PT
• Danielle Marie Lansang
• David Basil Larcher, D.D.S.
• Marivel Nora Larreinaga
• Robert Larson, M.D.
• Heidi Malia Larsson, MA
• Dani-May Laskowski
• Joseph Michael Lauinger
• Jason Muniz Lavalle, MSW, LICSW

• Addiction (Substance Use Disorder) Counselor in Kent, WA
• Providers in Kent, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.