Jeffrey Kent Larsen, M.A. MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC45671 Issued in CA

Practice address

2801 Camino del Rio S
Suite 202
San Diego, CA 92108-3800

Phone

(619) 207-7005

Fax

(619) 271-3123

NPI assigned

Jul 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1184937484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 GOLD OAK CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106754",
            "telephone_number": "619-207-7005",
            "fax_number": "619-271-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CAMINO DEL RIO S",
            "address_2": "SUITE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083800",
            "telephone_number": "619-207-7005",
            "fax_number": "619-271-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JEFFREY",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "M.A. MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "MFC45671",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "MFC45671",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Larsen, PHD
• Camilyn Larsen, AMFT
• Derek Larsen, M.S., NCC
• Elise Valentine Larsen
• Janina Yvonne Yepes Larsen, MPH, MS, RD
• Jennifer Ann Larsen
• Michael Larsen
• Samuel Larsen
• Saturnina Larsen
• Steven Ray Larsen, O.D.

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.