NPIMap

Organization Active NPI

Andrew J Larson Counseling Services

Doing business as NorthStar Counseling Center

  • Marriage & Family Therapist
  • Hutchinson, MN
National Provider Identifier
1962761981
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ANDREW J LARSON COUNSELING SERVICES
Doing business as
NorthStar Counseling Center
Practice address
155 Shady Ridge Rd NW
Hutchinson, MN 55350-1460
Phone
(320) 234-3451
Fax
(320) 587-0993
NPI assigned
May 10, 2012
Last updated
Apr 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Andrew John LarsonNPI 1750682282
Title
Owner/Operator
Phone
(320) 234-3451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

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 names 1

  • NorthStar Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240613000844 MN Part B Supplier - Clinic/Group Practice 7113469594 Receives reassigned benefits from 4 practitioners
Practice locations: Hutchinson, MN

National Provider Directory

National Provider Directory

Locations

155 Shady Ridge Rd NW
Hutchinson, MN 55350
Phone (320) 234-3451

75 Hassan St SE
Hutchinson, MN 55350
Phone (320) 234-3451

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1962761981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SHADY RIDGE RD NW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553501460",
            "telephone_number": "320-234-3451",
            "fax_number": "320-587-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SHADY RIDGE RD NW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553501460",
            "telephone_number": "320-234-3451",
            "fax_number": "320-587-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J LARSON COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "320-234-3451"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthStar Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NorthStar Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.