John A. Larsen, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1300 Issued in KS

Practice address

5350 W 94TH Ter
Suite 204
Prairie Village, KS 66207-2504

Phone

(913) 322-4235

Fax

(913) 322-4236

NPI assigned

Aug 31, 2006

Last updated

Apr 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John a Larsen, PHD, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prairie Village, KS
  • NPI 1871760181
  Authorized official Same address or phone
• Midwest Christian Counseling Center

  • Voluntary or Charitable Agency
  • Kansas City, MO
  • NPI 1942393541
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1265543995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 W 94TH TER",
            "address_2": "SUITE 204",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072504",
            "telephone_number": "913-322-4235",
            "fax_number": "913-322-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 W 94TH TER",
            "address_2": "SUITE 204",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072504",
            "telephone_number": "913-322-4235",
            "fax_number": "913-322-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493440309",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09792026",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Lakkeo, RPH
• Allison Lancaster, DPT
• Tanya Lanter
• Christina Lanterman
• Amanda M Lappin, PHD
• Justin Lasater, MA, LMLP
• Stephen J Lauer, PHD, MD
• Kimberly Sue Laughlin, PTA
• Corey Leach, DPT
• Wesley Max Ledom, PH.D.

• Psychologist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.