Margo Adams Larsen, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

343 Issued in ND

Practice address

2534 17TH Ave S Ste E
Grand Forks, ND 58201-5215

Phone

(701) 885-4551

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Practice Place, PLLC

  • Clinical Psychologist
  • Grand Forks, ND
  • NPI 1184283541
  NPD
• Center for Self-Growth & Renewal, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grand Forks, ND
  • NPI 1265658967
  NPD (past)
• Family Institute, PC

  • Clinical Psychologist
  • Grand Forks, ND
  • NPI 1003832783
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1124128756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 17TH AVE S STE E",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015215",
            "telephone_number": "701-885-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 17TH AVE S STE E",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015215",
            "telephone_number": "701-885-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS LARSEN",
        "first_name": "MARGO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "ND",
            "license": "343",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "ND",
            "license": "343",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "ND",
            "license": "343",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "ND",
            "license": "343",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "ND",
            "license": "343",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ND",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11920",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSND",
            "identifier": "21834",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40263900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN",
            "identifier": "308J4LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A005",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Achieve Therapy LLC
• Helen M Achilleoudes, PSY.D.
• Wendy Michelle Ackerman, LSW
• Jan Stegmaier Ackley, CMHT
• Jessica Lynn Adam, FNP-C
• Allison Adams, PA
• Catherine A. Adams
• Darla J Adams, CRNA
• Edward L Adams, MD
• Jill E Adams, OTR/L

• All providers in Grand Forks, ND
• Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.