Active NPI
Kathryn Larson, MA, LPC, ADTR, MT-BC
- Professional Counselor
- Minneapolis, MN
National Provider Identifier
1689827636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC00591
- Practice address
- 800 E 28TH St
Internal Zip 12401
Minneapolis, MN 55407-3723 - Phone
- (612) 863-4599
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- No
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 | LPC00591 | MN | Primary |
Addresses
Primary practice location
800 E 28TH St
Internal Zip 12401
Minneapolis, MN 55407-3723
Mailing address
4636 York Ave S
Minneapolis, MN 55410-1866
Phone (612) 929-0681
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC00591 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1689827636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4636 YORK AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554101866",
"telephone_number": "612-929-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 28TH ST",
"address_2": "INTERNAL ZIP 12401",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073723",
"telephone_number": "612-863-4599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "KATHRYN",
"credential": "MA, LPC, ADTR, MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "LPC00591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.