Mark Douglas Larson, D.MIN., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2189 Issued in NC

Practice address

605 East Boulevard
Methodist Counseling & Consultation Services
Charlotte, NC 28203-5111

Phone

(704) 375-5354

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376553503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 FOREST PARK DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091401",
            "telephone_number": "704-334-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 EAST BOULEVARD",
            "address_2": "METHODIST COUNSELING & CONSULTATION SERVICES",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035111",
            "telephone_number": "704-375-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.MIN., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Cole Larsen, PA-C
• Timothy Christian Larsen, MD
• William G Larsen, MD
• Greg D Larson, DDS
• Kayla Larson
• Ryan James Larson, PHARMD
• Tracy M Larson, M.D.
• Nicole Bell Lasarsky, M.S.
• Blaire Lash
• Lisa Lashani

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.