Individual provider Active NPI

Myra Rochelle Larsen, LCSW

  • Clinical Social Worker
  • Riverton, UT
National Provider Identifier
1831822055
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3095206-3501 Issued in UT
Practice address
12569 S 2700 W
Riverton, UT 84065-7182
Phone
(801) 209-9797
Fax
(801) 206-3506
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3095206-3501 UT Primary

Addresses

Primary practice location

12569 S 2700 W
Riverton, UT 84065-7182

Mailing address

12569 S 2700 W
Riverton, UT 84065-7182
Phone (801) 209-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Child and Family Counseling Center, LLC CurrentSince Jul 10, 2022 Accepting new patients
A New View Counseling and Psychological Services Clinical PastSince Oct 20, 2024 Accepting new patients

Locations

5937 S Redwood Rd
Taylorsville, UT 84123
Phone (801) 408-1440

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1831822055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12569 S 2700 W",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657182",
            "telephone_number": "801-209-9797",
            "fax_number": "801-206-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12569 S 2700 W",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657182",
            "telephone_number": "801-209-9797",
            "fax_number": "801-206-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MYRA",
        "middle_name": "ROCHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3095206-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.