Individual provider Active NPI

Larissa Macfarlane

  • Marriage & Family Therapist
  • Twin Falls, ID
National Provider Identifier
1619629706
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
451 Eastland Dr Ste 7
Twin Falls, ID 83301-7454
Phone
(208) 258-7681
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

451 Eastland Dr Ste 7
Twin Falls, ID 83301-7454

Mailing address

187 Bonnie Dr
Twin Falls, ID 83301-7606

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address larissa@aspengrovetherapy.com Aspen Grove Family Therapy, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1619629706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BONNIE DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 EASTLAND DR STE 7",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017454",
            "telephone_number": "208-258-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACFARLANE",
        "first_name": "LARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "larissa@aspengrovetherapy.com",
            "affiliation": "Y",
            "affiliationName": "Aspen Grove Family Therapy, Inc",
            "address_1": "451 Eastland Dr Ste 7",
            "city": "Twin Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833017454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.