John Bryon Larsen, B.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

805 NE Reservoir LN
Toledo, OR 97391-1335

Phone

(541) 336-2254

Fax

(541) 336-1803

NPI assigned

Feb 6, 2009

Last updated

Feb 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1790924264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 NE RESERVOIR LN",
            "city": "TOLEDO",
            "state": "OR",
            "postal_code": "973911335",
            "telephone_number": "541-336-2254",
            "fax_number": "541-336-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 NE RESERVOIR LN",
            "city": "TOLEDO",
            "state": "OR",
            "postal_code": "973911335",
            "telephone_number": "541-336-2254",
            "fax_number": "541-336-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JOHN",
        "middle_name": "BRYON",
        "name_prefix": "Mr.",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE NONPROFIT",
            "identifier": "93-0698327",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zann Marie Johnson, QMHA
• Dennis L. Kauffman, M.D.
• McKenna Jade Keys
• Sandra Kittel
• Denise G Krouse
• Talisha Nicole Liles
• Jacki Loomis
• Isaiah Marchant
• Cassandra Patsy McCrea-Bell
• Penelope Ann McCue, LCSW

• Mental Health Counselor in Toledo, OR
• Providers in Toledo, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.