Active NPI
Larson Counseling PC
- Psychologist
- Omaha, NE
National Provider Identifier
1427101526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 494
- Legal business name
- LARSON COUNSELING PC
- Practice address
- 11330 Q St
Omaha, NE 68137-3679 - Phone
- (402) 597-2308
- Fax
- (402) 502-2086
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paula E Larson, PHD
- Title
- Psychologist
- Phone
- (402) 597-2308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 494 | NE | Primary |
Addresses
Primary practice location
11330 Q St
Omaha, NE 68137-3679
Mailing address
11330 Q St
Omaha, NE 68137-3679
Phone (402) 597-2308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08371 | Other | NE | BLUE CROSS BLUE SHIELD |
| 10025118700 | Medicaid | NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427101526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11330 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373679",
"telephone_number": "402-597-2308",
"fax_number": "402-502-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11330 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373679",
"telephone_number": "402-597-2308",
"fax_number": "402-502-2086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARSON COUNSELING PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "402-597-2308",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NE",
"license": "494",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08371",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025118700",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.