Renae Carrie Larsen, LMHC, LIMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

092299 Issued in IA

Practice address

508 S Main St
Council Bluffs, IA 51503-6507

Phone

(712) 352-2110

Fax

(712) 352-1688

NPI assigned

Dec 19, 2018

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 12, 2025 through Dec 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Full Circle Therapy Center, LLC

  • Mental Health Counselor
  • Council Bluffs, IA
  • NPI 1710270087
  NPD (past)
• Kathryn Ladd, LLC

  • Clinical Social Worker
  • Council Bluffs, IA
  • NPI 1962865493
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1952873655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S MAIN ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515036507",
            "telephone_number": "402-250-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S MAIN ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515036507",
            "telephone_number": "712-352-2110",
            "fax_number": "712-352-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "RENAE",
        "middle_name": "CARRIE",
        "credential": "LMHC, LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "092299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510769",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Faye Larison, R.N.
• Daniel J. Larose, M.D.
• Amber Dawn Larsen
• Gary Young Larsen, PH.D.
• Katelyn Elizabeth Larsen, PA-C
• Deanna J Larson, M.D.
• Laura Kinney LLC
• Morgan Marie Lauritsen, M.S, TLMHC
• Kimberley Kaye Lawless, OTR/L
• Julia Anne Lawrence, LMT

• Mental Health Counselor in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.