Jennifer Larson, M.A., LCPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180006534 Issued in IL

Practice address

25 E Washington St Ste 1406
Chicago, IL 60602-1820

Phone

(773) 398-0359

Fax

(773) 989-7207

NPI assigned

Jan 4, 2008

Last updated

Aug 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Larson Counseling & Consultation, P.C.

  • Professional Counselor
  • Chicago, IL
  • NPI 1598197097
  NPD Authorized official

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1508041807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 N LEAVITT ST",
            "address_2": "STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256829",
            "telephone_number": "773-398-0359",
            "fax_number": "773-989-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021820",
            "telephone_number": "773-398-0359",
            "fax_number": "773-989-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "M.A., LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01638687",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Kristen Larson, M.ED.
• Erin Larson, BSW
• Grace Gar Yun Larson, CNM
• Jared S Larson, MD
• Jeffrey Larson, MD
• John Nicholas Larson, D.O.
• Jordan Larson, RDN
• Julianne Noel Yaholkovsky Larson, PT, DPT
• Kayla Larson, PA-C
• Kimberly J Larson, PT

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.