Individual provider Active NPI

Harold Stephen Larsen, PHD, LMHC

  • Counseling Psychologist
  • New Paltz, NY
National Provider Identifier
1255848511
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
002944-1 Issued in NY
Practice address
310 River Road Ext
New Paltz, NY 12561-3080
Phone
(845) 658-8083
Fax
(845) 658-3874
NPI assigned
Jan 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 002944-1 NY Primary

Addresses

Primary practice location

310 River Road Ext
New Paltz, NY 12561-3080

Mailing address

310 River Road Ext
New Paltz, NY 12561-3080
Phone (845) 658-8083

Other names 1

  • H. Stephen Larsen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
002944-1NYMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Mountain Counseling, LMHC, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1255848511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 RIVER ROAD EXT",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613080",
            "telephone_number": "845-658-8083",
            "fax_number": "845-658-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RIVER ROAD EXT",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613080",
            "telephone_number": "845-658-8083",
            "fax_number": "845-658-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "HAROLD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "002944-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H.",
            "last_name": "LARSEN",
            "middle_name": "STEPHEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.