Larry David Largen Jr.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

07589-1 Issued in NV

Practice address

1200 Harris Springs Rd
Las Vegas, NV 89124-9215

Phone

(702) 872-5382

NPI assigned

Oct 16, 2023

Sex

Male

Sole proprietor

Yes

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.

• Westcare Nevada Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1437567286
  NPD (past)
• Westcare Nevada Inc

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1669819934
  NPD (past)

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1245012160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8152 LEGER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454742",
            "telephone_number": "702-872-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HARRIS SPRINGS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891249215",
            "telephone_number": "702-872-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGEN",
        "first_name": "LARRY",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07589-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aura Larco
• Diana Larco
• Diego Javier Larco
• Darrell Dewayne Lard
• Cassandra Larente, DPT
• Katelyn Marie Largent, DPT
• Joshua K Largusa-Stephens, B.S. OF PSYCHOLGY
• Danielle Nicole Larios
• Stephanie Larios
• Steve Larios

• Addiction (Substance Use Disorder) Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.