Active NPI
Michele Hooper Larsen, LCSW
- Mental Health Counselor
- Houston, TX
National Provider Identifier
1881603504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 36299
- Practice address
- 10605 Grant Rd
Suite 201
Houston, TX 77070-4452 - Phone
- (281) 222-7721
- Fax
- (281) 890-5564
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 36299 | TX | Primary |
Addresses
Primary practice location
10605 Grant Rd
Suite 201
Houston, TX 77070-4452
Mailing address
5539 Woodland Glade Dr
Houston, TX 77066-5115
Phone (281) 222-7721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750663 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36299 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881603504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5539 WOODLAND GLADE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770665115",
"telephone_number": "281-222-7721",
"fax_number": "281-890-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 GRANT RD",
"address_2": "SUITE 201",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704452",
"telephone_number": "281-222-7721",
"fax_number": "281-890-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "MICHELE",
"middle_name": "HOOPER",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "36299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750663",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.