Individual provider Active NPI

Jennifer S Larson, LMFT

  • Marriage & Family Therapist
  • Rochester, MN
National Provider Identifier
1922479310
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4702 Issued in MN
Practice address
1530 Greenview Dr SW Ste 117
Rochester, MN 55902-1080
Phone
(507) 926-3033
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1034-124 WI
Marriage & Family Therapist 106H00000X 4702 MN Primary

Addresses

Primary practice location

1530 Greenview Dr SW Ste 117
Rochester, MN 55902-1080

Mailing address

1530 Greenview Dr SW Ste 117
Rochester, MN 55902-1080
Phone (507) 926-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240208003515 WI Practitioner - Marriage and Family Therapist 2163865999 Reassigns benefits to 1 organization
I20250124002035 MN Practitioner - Marriage and Family Therapist 2163865999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2477 Clare LN NE
Suite 400a
Rochester, MN 55906-8417
Phone (507) 722-0704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4702MNMDMarriage & Family Therapist
1034-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Therapy and Wellness PLLC Marriage & Family Therapist Current Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Rochester Therapy Center Marriage & Family Therapist CurrentSince Oct 3, 2025 Accepting new patients
Nystrom & Associates, LTD Marriage & Family Therapist PastSince Oct 1, 2024 Accepting new patients

Locations

1530 Greenview Dr SW
Ste 117
Rochester, MN 55902
Phone (507) 273-3768

1530 Greenview Dr SW
Ste 1
Rochester, MN 55902

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806

1400 Bellinger St
Eau Claire, WI 54703
Phone (715) 838-3311

Organizations & group practices 5

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1922479310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 GREENVIEW DR SW STE 117",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021080",
            "telephone_number": "507-926-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 GREENVIEW DR SW STE 117",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021080",
            "telephone_number": "507-926-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1034-124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.