Roger Axel Larson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.018740 Issued in IL

Practice address

521 N 10TH St
Monmouth, IL 61462-1425

Phone

(309) 657-1789

NPI assigned

Oct 16, 2026

Last updated

Oct 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1508762410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N 10TH ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621425",
            "telephone_number": "309-657-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N 10TH ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621425",
            "telephone_number": "309-657-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ROGER",
        "middle_name": "AXEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.018740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K Knapek
• Grace Iyabo Komolafe, M.D.
• Amanda Marie Kubis
• Omobolawa Yeside Kukoyi, M.D.
• Kevin J Kusler, PA-C
• Frank Thomas Lasala, MD
• Won K Lee, MD
• Jennifer Lynn Lemaster
• Michael Long
• Kianna Nicole Lyall, CF-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; 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.