Coleen D. Larrick, LICDC, LPN

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LICDC.162003 Issued in OH

Practice address

1655 Holland Rd Ste F
Maumee, OH 43537-1656

Phone

(866) 934-7450

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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.

• Eagle Healthworks LLC

  • Addiction (Substance Use Disorder) Counselor
  • Thornville, OH
  • NPI 1881248359
  Medicare reassignment NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1376675595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 HOLLAND RD STE F",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371656",
            "telephone_number": "866-934-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRICK",
        "first_name": "COLEEN",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "LICDC, LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.113413.MEDS-IV",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2415738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Lamb, LSW
• Robert K Lampert
• John William Lane, DPM
• Shelby Lankford
• Steven Lantzy, DDS
• Monserrat Lastre, RBT
• Laura Feeney, LLC
• Laura'S Light Home Health Care N Rehab Services LLC
• Cyd L Laurel, M.A., LPCC
• Roslynd Laurie, RBT

• Addiction (Substance Use Disorder) Counselor in Maumee, OH
• Providers in Maumee, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.