Individual provider Active NPI

Julia Grace Larson, MS, LPC-MH, LAC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1962288415
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH30633 Issued in SD
Practice address
3922 S Western Ave
Sioux Falls, SD 57105-6513
Phone
(605) 549-1200
NPI assigned
Aug 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-MH30633 SD Primary

Addresses

Primary practice location

3922 S Western Ave
Sioux Falls, SD 57105-6513

Mailing address

121 E 5TH Ave
Lennox, SD 57039-2144

Other practice location 1

121 E 5th Ave
Lennox, SD 57039-2144
Phone (320) 406-9459

Other names 1

  • Julia Grace Thielen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-MH30633SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Graceful Counseling LLC Mental Health CurrentSince Sep 1, 2023 Accepting new patients

Locations

3922 S Western Ave
Sioux Falls, SD 57105
Phone (605) 403-4167

Organizations & group practices 1

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": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1962288415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 5TH AVE",
            "city": "LENNOX",
            "state": "SD",
            "postal_code": "570392144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 S WESTERN AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056513",
            "telephone_number": "605-549-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 E 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Lennox",
            "state": "SD",
            "postal_code": "570392144",
            "country_code": "US",
            "telephone_number": "320-406-9459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JULIA",
        "middle_name": "GRACE",
        "credential": "MS, LPC-MH, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH30633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "THIELEN",
            "middle_name": "GRACE",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.