Diane Mary Larson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

02877 Issued in MN

Practice address

3701 Shoreline Dr Ste 102
Wayzata, MN 55391-9591

Phone

(952) 314-7533

NPI assigned

Mar 6, 2024

Sex

Female

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

State licenses

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1649038506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SHORELINE DR STE 102",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553919591",
            "telephone_number": "952-314-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SHORELINE DR STE 102",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553919591",
            "telephone_number": "952-314-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DIANE",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "02877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Lambrecht, RN, CNP
• Landis Plastic Surgery P C
• Paul Jay Lang, D.C.
• Connor Larson
• Deann Marie Larson, C.M.T.
• James Jay Larson, DDS
• Bryan Neil Laskin, D.D.S.
• Elizabeth Lawson, PHARMD
• Valerie Lawson
• Christina Sunkyong Lee, LAC

• Mental Health Counselor in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.