Active NPI
Debra Jane Larson, LPC, MT-BC
- Professional Counselor
- Aurora, CO
National Provider Identifier
1396995270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0005481
- Practice address
- 13123 E 16TH Ave
Box 361
Aurora, CO 80045-7106 - Phone
- (720) 777-4905
- Fax
- (720) 777-7307
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0005481 | CO | Primary |
Addresses
Primary practice location
13123 E 16TH Ave
Box 361
Aurora, CO 80045-7106
Mailing address
13123 E 16TH Ave # B361
Aurora, CO 80045-7106
Phone (720) 777-4905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0005481 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Locations
13123 E 16th Ave
#B361
Aurora, CO 80045
Phone (720) 777-8557
13123 E 16th Ave
#361
Aurora, CO 80045
Phone (720) 777-4905
Interoperability endpoints
- dlarson6224@direct.childrenscolorado.org
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1396995270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13123 E 16TH AVE # B361",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-4905",
"fax_number": "720-777-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13123 E 16TH AVE",
"address_2": "BOX 361",
"city": "AURORA",
"state": "CO",
"postal_code": "800457106",
"telephone_number": "720-777-4905",
"fax_number": "720-777-7307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "DEBRA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "LPC, MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0005481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.