Individual provider Active NPI

Kathryn E Larson, LPCC

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1487285524
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
260536 Issued in KY
Practice address
1353 W Main St
Lexington, KY 40508
Phone
(855) 591-0092
NPI assigned
Jan 28, 2020
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 260536 KY Primary

Addresses

Primary practice location

1353 W Main St
Lexington, KY 40508

Mailing address

667 Sheridan Dr
Lexington, KY 40503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20251107004524 KY Practitioner - Mental Health Counselor 0244720159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Muzzillo, PLLCGroup PAC ID 3577997964, 10 clinicians

Practice addresses (Care Compare)

168 E Reynolds Rd
Suite 150
Lexington, KY 40517-1360
Phone (859) 212-3180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
260536KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Muzzillo, PLLC CurrentSince Aug 28, 2025 Accepting new patients
Kentucky Counseling Center, LLC CurrentSince Feb 10, 2020 Accepting new patients

Locations

75 Cavalier Blvd
Ste 310
Florence, KY 41042
Phone (859) 212-3180

1353 W Main St
Lexington, KY 40508

168 E Reynolds Rd
Ste 150
Lexington, KY 40517
Phone (859) 212-3180

168 E Reynolds Rd
Ste 160
Lexington, KY 40517
Phone (859) 208-0003

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1487285524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 SHERIDAN DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 W MAIN ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40508",
            "telephone_number": "855-591-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "260536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.