Rachel Joy Larson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3254 Issued in MN

Practice address

620 Civic Heights Dr Ste 103
Circle Pines, MN 55014-4709

Phone

(763) 280-7486

NPI assigned

May 28, 2019

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Renovation Counseling, PLLC

  • Marriage & Family Therapist
  • Circle Pines, MN
  • NPI 1013540178
  NPD Authorized official
• The Mosaic Group PLLC

  • Marriage & Family Therapist
  • Circle Pines, MN
  • NPI 1891347423
  NPD (past) Authorized official

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1346807005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CIVIC HEIGHTS DR STE 103",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550144709",
            "telephone_number": "763-280-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CIVIC HEIGHTS DR STE 103",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550144709",
            "telephone_number": "763-280-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "RACHEL",
        "middle_name": "JOY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Koffski
• Rebecca Kramer
• Lake Area Memory Care LLC (Northwoods Memory Care Suites)
• Lake Drive Chiopractic Clinic
• Megan Ann Larson, MA, CCC-SLP
• Lexington Square Chiropractic
• Lexington Square Chiropractic Center PLLC
• Life Solutions Home Health Care LLC
• Luminate Therapy Collective
• Greta M Lund

• Marriage & Family Therapist in Circle Pines, MN
• Providers in Circle Pines, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.