Active NPI
Sarah Nasser Larsen, MED. ,LPC,LPCC
- Professional Counselor
- Newport Beach, CA
National Provider Identifier
1689236861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6082
- Practice address
- 4060 Campus Dr Ste 110
Newport Beach, CA 92660-2205 - Phone
- (949) 274-2521
- NPI assigned
- Jul 8, 2019
- Last updated
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6082 | CA | Primary |
Addresses
Primary practice location
4060 Campus Dr Ste 110
Newport Beach, CA 92660-2205
Mailing address
1836 Port Tiffin PL
Newport Beach, CA 92660-7121
Phone (949) 274-2521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 25, 2025 through Mar 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6082 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1689236861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 PORT TIFFIN PL",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607121",
"telephone_number": "949-274-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 CAMPUS DR STE 110",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602205",
"telephone_number": "949-274-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "SARAH",
"middle_name": "NASSER",
"name_prefix": "Mrs.",
"credential": "MED. ,LPC,LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "6082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.