Connor Larson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

14611 Issued in MN

Practice address

102 N Chestnut St
Chaska, MN 55318-1918

Phone

(952) 475-2818

NPI assigned

Jan 6, 2025

Last updated

Oct 8, 2026By the provider in NPPES

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16506/brand/1/csg/1/fhir/r4

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.

• Lorenz Clinic, LLC

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  • Victoria, MN
  • NPI 1982900510
  NPD

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1326857103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 DICKENS LN",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553648517",
            "telephone_number": "952-607-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N CHESTNUT ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181918",
            "telephone_number": "952-475-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CONNOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "14611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Kuka, LICSW
• Katherine Elizabeth Kupiecki
• Lake Life Chiropractic LLC
• Patricia Lange
• Angela L Larson, CNP
• Lisa Carol Larson, PAC
• Melissa Goroni Larson, LICSW
• Elissabeth Amanda Lauren, LPCC
• Michelle Palen Laurent, M.S., CCC-SLP
• Shelby Lautz, LPCC, LADC

• Psychiatric/Mental Health Nurse Practitioner in Chaska, MN
• Providers in Chaska, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.