Jade Kay-Marie Larson-Houck

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10297-C Issued in NV

Practice address

4045 Spencer St Ste A48
Las Vegas, NV 89119-5245

Phone

(702) 483-0190

NPI assigned

Sep 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Vegas Valley Comprehensive Counseling, LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1598329062
  Medicare reassignment NPD

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1366961971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 SPENCER ST STE A48",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195245",
            "telephone_number": "702-483-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 SPENCER ST STE A48",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195245",
            "telephone_number": "702-483-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON-HOUCK",
        "first_name": "JADE",
        "middle_name": "KAY-MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "1630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "10297-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Denise Larsen, MD
• Matthew Larsen, M.D.
• Suchin Larsen
• Taylor Larsen
• Tyler Hugh Larsen, DPT
• Alvera Larson
• Ariel Larson
• Ashley Q Larson, REGISTERED DIETITIAN
• Carter Larson
• Charles Coolidge Larson

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.