Organization Active NPI

Brita Larson Counseling LLC

  • Clinical Social Worker
  • Madison, WI
National Provider Identifier
1235755364
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Brita Larson, LCSWNPI 1548800444
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20200813000652 WI Part B Supplier - Clinic/Group Practice 1759707342 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.