Active NPI
Andrea Camille Larsen
- Mental Health Counselor
- Littleton, CO
National Provider Identifier
1356733604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- NLC.0106142
- Practice address
- 8340 Sangre de Cristo Road., Suite 212
Littleton, CO 80217-3250 - Phone
- (303) 351-1255
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NLC.0106142 | CO | Primary |
Addresses
Primary practice location
8340 Sangre de Cristo Road., Suite 212
Littleton, CO 80217-3250
Mailing address
4778 S Zeno St
Aurora, CO 80015-3250
Phone (303) 351-1255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 19, 2025 through Mar 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC.0106142 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1356733604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4778 S ZENO ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800153250",
"telephone_number": "303-351-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8340 SANGRE DE CRISTO ROAD., SUITE 212",
"city": "LITTLETON",
"state": "CO",
"postal_code": "802173250",
"telephone_number": "303-351-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "ANDREA",
"middle_name": "CAMILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "NLC.0106142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.