Active NPI
Jennifer S Larson, LMFT
- Marriage & Family Therapist
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4702
- 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
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 |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4702 | MN | MD | Marriage & Family Therapist |
| 1034-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Therapy and Wellness PLLC | Marriage & Family Therapist | Current | Accepting new patients |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Rochester Therapy Center | Marriage & Family Therapist | Current | Accepting new patients |
| Nystrom & Associates, LTD | Marriage & Family Therapist | Past | 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.
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- Marriage & Family Therapist
- Rochester, MN
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- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
- Marriage & Family Therapist
- Rochester, MN
- NPI 1205449303
-
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
Marriage & Family Therapist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.