Ruth Allison Larson, LMHC
Individual provider Active NPI Professional Counselor · Erieville, NY
NPI 1164583407 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1164583407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 007684 (NY)
- Practice address
- 3455 Erieville Rd.
Erieville, NY 13061-1760 - Phone
- (315) 503-3112
- Fax
- (208) 888-3018
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
217 Ruth St
Minoa, NY 13116-1719
PO Box
Suite 203
Fayetteville, NY 13066
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251024002525 | NY | Practitioner - Mental Health Counselor | 6406344928 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007684 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruth a. Larson, Licensed Mental Health Counselor, PLLC | Professional | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 007684 | NY | Yes |
Addresses
Primary practice location
3455 Erieville Rd.
Erieville, NY 13061-1760
Mailing address
PO Box 203
Fayetteville, NY 13066-9998
Phone (315) 503-3112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DY1I | Medicaid | NY |
Other providers in Erieville, NY
- Robert Bailly
- Rachel S. Bender
- Catherine L Casler
- Jennifer Holmes
- Colleen B McSweeney
- Frederica Meade
- Meghan M. Tobin, Licensed Mental Health Counselor, PC
- Ruth a. Larson, Licensed Mental Health Counselor, PLLC
- Meghan M. Tobin
All providers in Erieville, NY · Professional Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.