Nancy Neal Larson, L.C.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC1587 Issued in ME

Practice address

75 Washington Ave
Portland, ME 04101-2665

Phone

(207) 973-2491

Fax

(207) 973-2494

NPI assigned

Jun 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Annie E. Casey Foundation

  • Case Management Agency
  • Portland, ME
  • NPI 1053373183
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1235459546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012665",
            "telephone_number": "207-973-2491",
            "fax_number": "207-973-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012665",
            "telephone_number": "207-973-2491",
            "fax_number": "207-973-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "NANCY",
        "middle_name": "NEAL",
        "name_prefix": "Ms.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC1587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Larsen, MS RD LDN CNSC
• Jamie Rae Larsen, LMSW
• Jocelyn R. Larsen, DO
• Stephanie Nicole Larsen
• Jessica Larson, MD
• Denise Larue, M.D.
• Steven Paul Lary, OD
• Anamarie Lasselle, LCPC, LADC, CCS
• Mary Elizabeth Latendresse, LMT
• Luke Taylor Lauchert

• Mental Health Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.