Larry Larson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

00681 Issued in MN

Practice address

911 18TH St N
Saint Cloud, MN 56303-1203

Phone

(320) 650-1660

NPI assigned

Apr 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Law

State licenses

Practice roles

Locations

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.

• Catholic Charities of the Diocese of St. Cloud

  • Adult Mental Health Clinic/Center
  • Saint Cloud, MN
  • NPI 1780711341
  Medicare reassignment NPD
• Catholic Charities of the Diocese of St. Cloud

  • Adult Mental Health Clinic/Center
  • Saint Cloud, MN
  • NPI 1003944620
  NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1801537345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 18TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031203",
            "telephone_number": "320-650-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 18TH ST N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031203",
            "telephone_number": "320-650-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Larson
• Gregg Stuart Larson, DDS
• Jodi Larson, RN BSN
• Karen Larson, LSW
• Keith D Larson, MD
• Mary Frances Larson, APRN, CNP
• Melissa Ann Larson
• Rhaya Larson, RN
• Stephanie Karin Larson
• Brie Anne Lashinski, DPT

• Professional Counselor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.