Individual provider Active NPI

Eleanor Larsen, MA, LMFT, LSWA

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1609031970
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMFT 1206 Issued in SD
Practice address
4300 S Louise Ave Ste 201
Sioux Falls, SD 57106-3124
Phone
(605) 334-7713
Fax
(605) 334-5348
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT 1206 SD Primary
Mental Health Counselor 101YM0800X 2022 SD

Addresses

Primary practice location

4300 S Louise Ave Ste 201
Sioux Falls, SD 57106-3124

Mailing address

4300 S Louise Ave Ste 201
Sioux Falls, SD 57106-3124
Phone (605) 334-7713

Other identifiers 1

IdentifierTypeStateIssuer
6575260MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20240229003993 SD Practitioner - Marriage and Family Therapist 4183069016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Baptist SeminaryGroup PAC ID 8628979721, 21 clinicians

Practice addresses (Care Compare)

4300 S Louise Ave
Suite 201
Sioux Falls, SD 57106-3124
Phone (605) 334-7713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT 1206SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
North American Baptist Seminary Current Accepting new patients
North American Baptist Seminary CurrentSince Jan 3, 2024 Accepting new patients
Stronghold Counseling Services Inc Past Accepting new patients

Locations

2109 S Norton Ave
Sioux Falls, SD 57105
Phone (605) 334-2696

4300 S Louise Ave
Ste 201
Sioux Falls, SD 57106
Phone (605) 334-7713

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1609031970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S LOUISE AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063124",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S LOUISE AVE STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063124",
            "telephone_number": "605-334-7713",
            "fax_number": "605-334-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ELEANOR",
        "name_prefix": "Mrs.",
        "credential": "MA, LMFT, LSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LMFT 1206",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "2022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6575260",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.