Organization Active NPI

Larson Individual and Family Therapy, LLC

  • Clinical Social Worker
  • Edina, MN
National Provider Identifier
1538527262
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19647 Issued in MN
Legal business name
LARSON INDIVIDUAL AND FAMILY THERAPY, LLC
Practice address
5200 Willson Rd Ste 320
Edina, MN 55424-1332
Phone
(952) 405-6093
Fax
(952) 405-6093
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Eric Christopher Larson, MSW, LICSWLNPI 1558700120
Title
Licensed Clinical Social Worker
Phone
(952) 405-6093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 19647 MN Primary

Addresses

Primary practice location

5200 Willson Rd Ste 320
Edina, MN 55424-1332

Mailing address

5200 Willson Rd Ste 320
Edina, MN 55424-1332
Phone (952) 405-6093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160412002784 MN Part B Supplier - Clinic/Group Practice 0547568297 Receives reassigned benefits from 1 practitioner
Practice locations: Edina, MN

National Provider Directory

National Provider Directory

Locations

5200 Willson Rd
Ste 320
Edina, MN 55424
Phone (952) 405-6093

5100 Eden Ave
Ste 310
Minneapolis, MN 55436
Phone (952) 405-6093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1538527262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 320",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241332",
            "telephone_number": "952-405-6093",
            "fax_number": "952-405-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WILLSON RD STE 320",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241332",
            "telephone_number": "952-405-6093",
            "fax_number": "952-405-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON INDIVIDUAL AND FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "952-405-6093",
        "authorized_official_credential": "MSW, LICSWL"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.