Suzanne M Larsen, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-7519 Issued in ID

Practice address

403 W Cherry LN
Meridian, ID 83642-1610

Phone

(208) 887-1911

NPI assigned

Feb 6, 2015

Last updated

Aug 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1659762078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 W DAISY CREEK ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427969",
            "telephone_number": "208-982-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421610",
            "telephone_number": "208-887-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 W. Main Street",
            "address_purpose": "LOCATION",
            "city": "Kuna",
            "state": "ID",
            "postal_code": "836342022",
            "country_code": "US",
            "telephone_number": "208-922-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-5615",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-7519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George P Lara, MS RCEP
• Megan Elaine Laritchie, LCSW
• Adrian Larsen, D.C.
• Kimberly Jean Larsen, PTA
• Oksana Larsen, LCSW
• Carl Larson, DDS
• Dallin Larson, DDS
• Elizabeth T Larson
• Peter Larson, NP-C
• Kristin Larsson

• Mental Health Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.