Active NPI
Dara Larsen, LCMHC
- Mental Health Counselor
- Saint George, UT
National Provider Identifier
1184239337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9388761-6004
- Practice address
- 923 S River Rd Ste 204
Saint George, UT 84790-2288 - Phone
- (435) 429-1457
- NPI assigned
- Sep 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9388761-6004 | UT | Primary |
Addresses
Primary practice location
923 S River Rd Ste 204
Saint George, UT 84790-2288
Mailing address
3411 S 2330 E
Saint George, UT 84790-7777
Phone (208) 280-1107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9388761-6004 | Other | UT | LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9388761-6004 | UT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1184239337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3411 S 2330 E",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847907777",
"telephone_number": "208-280-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 S RIVER RD STE 204",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847902288",
"telephone_number": "435-429-1457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "DARA",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "9388761-6004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "9388761-6004",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.