NPIMap

Organization Active NPI

Reflection, LLC

  • Mental Health Counselor
  • Appleton, WI
National Provider Identifier
1588323893
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REFLECTION, LLC
Doing business as
Reflection , LLC
Practice address
1620 S Lawe St Ste 1
Appleton, WI 54915-2419
Phone
(920) 284-9676
Fax
(920) 481-3121
NPI assigned
Dec 14, 2021
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Mrs. Larissa Fravel, LPCNPI 1841641586
Title
Owner
Phone
(920) 915-0102

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1620 S Lawe St Ste 1
Appleton, WI 54915-2419

Mailing address

1620 S Lawe St
Ste 1
Appleton, WI 54915-2419
Phone (920) 284-9676

Other names 1

  • Reflection , LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219002996 WI Part B Supplier - Clinic/Group Practice 0042654915 Receives reassigned benefits from 6 practitioners
Practice locations: Appleton, WI; Ashwaubenon, WI

National Provider Directory

National Provider Directory

Locations

1620 S Lawe St
Ste 1
Appleton, WI 54915
Phone (920) 284-9676

1620 S Lawe St
Ste 5
Appleton, WI 54915
Phone (920) 955-9355

916 Willard Dr
Ste 125F
Green Bay, WI 54304
Phone (920) 284-9676

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1588323893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S LAWE ST",
            "address_2": "STE 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152419",
            "telephone_number": "920-284-9676",
            "fax_number": "920-481-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S LAWE ST STE 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152419",
            "telephone_number": "920-284-9676",
            "fax_number": "920-481-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "FRAVEL",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-915-0102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflection , LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reflection , LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.