Andrew J Larson Counseling Services
Organization Active NPI Marriage & Family Therapist · Hutchinson, MN
NPI 1962761981 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1962761981
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Legal business name
- ANDREW J LARSON COUNSELING SERVICES
- Practice address
- 155 Shady Ridge Rd NW
Hutchinson, MN 55350-1460 - Phone
- (320) 234-3451
- Fax
- (320) 587-0993
- NPI assigned
- May 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Andrew John Larson
- Title
- Owner/Operator
- Phone
- (320) 234-3451
Practitioners 9
-
Amber Gustafson, LMFT
-
Michael Jeffery Kieke, LICSW
-
Danielle Nelson, LMFT
-
Jennifer Gail Given, MS, LPCC
-
Brianna Marlaine Harguth, M.S., LAMFT
-
Emily K Meyer, LPCC
-
Kaitlin Morgan Rooney, LMFT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240613000844 | MN | Part B Supplier - Clinic/Group Practice | 7113469594 |
Receives reassigned benefits from 4 practitioners Practice locations: Hutchinson, MN |
National Provider Directory
Locations
75 Hassan St SE
Hutchinson, MN 55350
Phone (320) 221-9250
155 Shady Ridge Rd NW
Hutchinson, MN 55350
Phone (320) 234-3451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | Yes |
Addresses
Primary practice location
155 Shady Ridge Rd NW
Hutchinson, MN 55350-1460
Mailing address
155 Shady Ridge Rd NW
Hutchinson, MN 55350-1460
Phone (320) 234-3451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2231893 | Medicaid | MN |
Other names
- NorthStar Counseling Center
Other providers in Hutchinson, MN
- Kirsten Anderson
- Mary E Anderson
- Marysa Carolyne Anderson
- Randy David Anderson
- Shawna Anderson
- Megan Nicole Appleton
- Lynn Artibee
- Aspire Counseling, LLC
- Back in Action Chiropractic, PA
- Antonia Rose Barrick
All providers in Hutchinson, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.