Marlene Klarborg Larsen

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MARLENE KLARBORG LARSEN

Practice address

2900 Bristol St Ste G101
Costa Mesa, CA 92626-7912

Phone

(949) 287-3415

NPI assigned

Dec 10, 2018

Organization subpart

No

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

Authorized official

Name

Marlene Klarborg Larsen, M.S.

Title

LMFT

Phone

(949) 287-3415

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1700357282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE G101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267912",
            "telephone_number": "949-287-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE G101",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267912",
            "telephone_number": "949-287-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE KLARBORG LARSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_middle_name": "KLARBORG",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "949-287-3415",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.