Individual provider Active NPI

Katie Marie Larson, LPCC

  • Mental Health Counselor
  • Willmar, MN
National Provider Identifier
1760156376
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2927 Issued in MN
Practice address
2320 Highway 12 E Ste 2
Willmar, MN 56201-5811
Phone
(320) 214-9692
Fax
(320) 214-9924
NPI assigned
Aug 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2927 MN Primary

Addresses

Primary practice location

2320 Highway 12 E Ste 2
Willmar, MN 56201-5811

Mailing address

2320 Highway 12 E Ste 2
Willmar, MN 56201-5811
Phone (320) 214-9692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506000769 MN Practitioner - Mental Health Counselor 3779000575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2927MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Minnesota Family Services Mental Health CurrentSince Aug 8, 2021 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 11, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

2320 Highway 12 E
Ste 2
Willmar, MN 56201
Phone (320) 214-9692

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1760156376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 HIGHWAY 12 E STE 2",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015811",
            "telephone_number": "320-214-9692",
            "fax_number": "320-214-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HIGHWAY 12 E STE 2",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015811",
            "telephone_number": "320-214-9692",
            "fax_number": "320-214-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-06",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

Verify at the official NPI Registry.