Active NPI
Rodney Larson I, MACC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1437557972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009039
- Practice address
- 8097 Roswell Rd
Suite C101
Atlanta, GA 30350-6159 - Phone
- (678) 332-1221
- NPI assigned
- Dec 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | LPC009039 | GA | Primary |
Addresses
Primary practice location
8097 Roswell Rd
Suite C101
Atlanta, GA 30350-6159
Mailing address
2545 Lawrenceville Hwy
Suite 150
Decatur, GA 30033-3239
Phone (678) 332-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC009039 | Other | GA | LICENSED PROFESSIONAL COUNSELOR |
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 |
|---|---|---|---|
| LPC009039 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodney Larson Perspectives | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Atlanta, GA
- NPI 1679028971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1437557972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 LAWRENCEVILLE HWY",
"address_2": "SUITE 150",
"city": "DECATUR",
"state": "GA",
"postal_code": "300333239",
"telephone_number": "678-332-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8097 ROSWELL RD",
"address_2": "SUITE C101",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303506159",
"telephone_number": "678-332-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "RODNEY",
"name_suffix": "I",
"credential": "MACC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-16",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "LPC009039",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.