Larissa Lillian Harrison

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5108-154 Issued in WI

Practice address

222 Park PL
Waukesha, WI 53186-4858

Phone

(262) 446-9466

NPI assigned

Jan 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Larissa Lillian Lafavor Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Presbyterian Homes of Wisconsin IncGroup PAC ID 7618341439, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Presbyterian Homes of Wisconsin, Inc.

  • Rehabilitation Clinic/Center
  • Waukesha, WI
  • NPI 1336845551

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  Medicare reassignment NPD
• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wauwatosa, WI
  • NPI 1154947224
  NPD
• Presbyterian Homes of Wisconsin, Inc.

  • Rehabilitation Clinic/Center
  • Germantown, WI
  • NPI 1194414441

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1952990848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PARK PL",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PARK PL",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864858",
            "telephone_number": "262-446-9466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 W Paradise Dr",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530959795",
            "country_code": "US",
            "telephone_number": "262-334-3451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 American Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Slinger",
            "state": "WI",
            "postal_code": "530869043",
            "country_code": "US",
            "telephone_number": "262-297-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LARISSA",
        "middle_name": "LILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "5108-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARISSA",
            "last_name": "LAFAVOR",
            "middle_name": "LILLIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Harr, PHARMD
• Jillian Harris, APNP
• Rick R Harris, SAC
• Cecile A Harrison
• Heather Koch Harrison, MD
• Kari Lynn Hart, OTR
• Tujuana Lichelle Hart
• Kristopher Karl Hartz, ATC
• Kathryn Harvey, LPC-IT
• Meredy Morgan Hase, AU.D., CCC-A

• Speech-Language Pathologist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.