Donielle J Larson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1597 Issued in NE

Practice address

1203 S 8TH St
Norfolk, NE 68701-5875

Phone

(402) 371-0220

Fax

(402) 644-4593

NPI assigned

Mar 30, 2012

Sex

Female

Sole proprietor

No

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.

• The Well NE

  • Addiction (Substance Use Disorder) Counselor
  • Norfolk, NE
  • NPI 1720316391

  Mental Health, NE

  Medicare reassignment NPD Authorized official
• The Well NE

  • Substance Abuse Rehabilitation Facility
  • Norfolk, NE
  • NPI 1306909692
  NPD (past) Authorized official
• The Well NE

  • Community/Behavioral Health Agency
  • Norfolk, NE
  • NPI 1619845401
  NPD (past) Authorized official
• The Well NE

  • Substance Abuse Rehabilitation Facility
  • Norfolk, NE
  • NPI 1992033567
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Enrolled in NE

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2024.

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1821364100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015006",
            "telephone_number": "402-370-3140",
            "fax_number": "402-370-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S 8TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015875",
            "telephone_number": "402-371-0220",
            "fax_number": "402-644-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DONIELLE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9772",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Larsen
• Alexis Larsen
• Mariah Larsen
• Teri Larsen
• Beth A Larson, LIMHP
• April Dawn Laskowski, MS CCC-SLP
• John G Laskowski
• Laura Jessen
• Heather Lauritsen
• Barbara Elizabeth Lauver, LPN

• All providers in Norfolk, NE
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.