Active NPI
Brita Larson Counseling LLC
- Clinical Social Worker
- Madison, WI
National Provider Identifier
1235755364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- BRITA LARSON COUNSELING LLC
- Practice address
- 715 Hill St Ste 200
Madison, WI 53705-3576 - Phone
- (608) 571-7289
- NPI assigned
- Jun 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brita Larson, LCSW
- Title
- Owner
- Phone
- (608) 571-7289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
715 Hill St Ste 200
Madison, WI 53705-3576
Mailing address
715 Hill St Ste 260B
Madison, WI 53705-3572
Phone (715) 577-0173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200813000652 | WI | Part B Supplier - Clinic/Group Practice | 1759707342 |
Receives reassigned benefits from 1 practitioner Practice locations: Madison, WI |
National Provider Directory
National Provider DirectoryLocations
715 Hill St
Ste 200
Madison, WI 53705
Phone (608) 233-7431
715 Hill St
Ste 260B
Madison, WI 53705
Phone (608) 571-7289
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1235755364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 HILL ST STE 260B",
"city": "MADISON",
"state": "WI",
"postal_code": "537053572",
"telephone_number": "715-577-0173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 HILL ST STE 200",
"city": "MADISON",
"state": "WI",
"postal_code": "537053576",
"telephone_number": "608-571-7289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRITA LARSON COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-24",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "BRITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-571-7289",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.