Individual provider Active NPI

Christopher K Larres, LPC, LPCADC

  • Mental Health Counselor
  • Toms River, NJ
National Provider Identifier
1114458700
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00501300 Issued in NJ
Practice address
608 Harvest Way
Toms River, NJ 08755-1538
Phone
(732) 773-1131
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00228500 NJ
Mental Health Counselor 101YM0800X 37PC00501300 NJ Primary

Addresses

Primary practice location

608 Harvest Way
Toms River, NJ 08755-1538

Mailing address

539 Brentwood Rd
Forked River, NJ 08731-1520
Phone (732) 475-0779

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

LicenseStateTypeSpecialty
37LC00228500NJMDAddiction (Substance Use Disorder) Counselor
37PC00501300NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1114458700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BRENTWOOD RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311520",
            "telephone_number": "732-475-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HARVEST WAY",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551538",
            "telephone_number": "732-773-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRES",
        "first_name": "CHRISTOPHER",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "LPC, LPCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00228500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00501300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.