Active NPI
Noel Larson, PH.D., L.P., LMFT
- Clinical Psychologist
- Saint Paul, MN
National Provider Identifier
1881670495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP0822
- Practice address
- 821 Raymond Ave
Suite 440
Saint Paul, MN 55114-1503 - Phone
- (651) 642-9317
- NPI assigned
- Dec 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP0822 | MN | |
| Clinical Psychologist | 103TC0700X | LP0822 | MN | Primary |
Addresses
Primary practice location
821 Raymond Ave
Suite 440
Saint Paul, MN 55114-1503
Mailing address
821 Raymond Ave
Suite 440
Saint Paul, MN 55114-1503
Phone (651) 642-9317
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31B14ME | Other | MN | BLUE CROSS BLUE SHIELD |
| PS1500 | Other | MN | AMERICA'S PPO |
| 31B15LA | Other | MN | BCBS INDIVIDUAL # |
| 61-91122 | Other | MN | MEDICA |
| HP18477 | Other | MN | HEALTHPARTNERS |
| 1009939 | Other | MN | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422000747 | MN | Practitioner - Clinical Psychologist | 9931147550 | Practice locations: Saint Paul, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
821 Raymond Ave
Saint Paul, MN 55114-1525
Phone (651) 642-9317
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1881670495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 RAYMOND AVE",
"address_2": "SUITE 440",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141503",
"telephone_number": "651-642-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 RAYMOND AVE",
"address_2": "SUITE 440",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141503",
"telephone_number": "651-642-9317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "NOEL",
"credential": "PH.D., L.P., LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP0822",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP0822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31B14ME",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "PS1500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL #",
"identifier": "31B15LA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "61-91122",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP18477",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1009939",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.