Tara Renae Olson-Larson, MA LPC MH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC1084 Issued in SD

Practice address

4105 S Carnegie PL
Sioux Falls, SD 57106-2360

Phone

(605) 323-2345

Fax

(605) 323-2822

NPI assigned

Sep 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• GPPS LLC

  • Multi-Specialty Clinic/Center
  • Sioux Falls, SD
  • NPI 1386620607
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1194711085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 S CARNEGIE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062360",
            "telephone_number": "605-323-2345",
            "fax_number": "605-323-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 S CARNEGIE PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571062360",
            "telephone_number": "605-323-2345",
            "fax_number": "605-323-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON-LARSON",
        "first_name": "TARA",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "MA LPC MH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC1084",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPCMH2120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575440",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew James Ollerton, M.D.
• Kamryn Jeanette Olness, OTD
• Emily Olsen
• Joe Scott Olsen, D.D.S.
• Matthew Olsen
• Aaron Michael Olson, DPT, ATC, CSCS
• Amber Olson, MD
• Anthony Olson, DDS
• Brad L Olson, MD
• Christina Olson, DO

• Mental Health Counselor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.