Jo Ann Larsen, DSW

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1037843501 Issued in UT

Practice address

625 E 8400 S
Sandy, UT 84070-0525

Phone

(801) 566-2556

Fax

(801) 566-2639

NPI assigned

Oct 21, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Intermountain Mental Health, Inc.

  • Psychologist
  • Millcreek, UT
  • NPI 1588847008
  NPD (past)
• LDS Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandy, UT
  • NPI 1659324572
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1972755940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E 8400 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700525",
            "telephone_number": "801-566-2556",
            "fax_number": "801-566-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 8400 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840700525",
            "telephone_number": "801-566-2556",
            "fax_number": "801-566-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JO",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "1037843501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinn Lapeyre, CPSS
• Brian John Larsen, PHARMD
• David Christian Larsen, NP-C
• Erika Larsen
• Gregory Paul Larsen, D.D.S.
• Kenneth S Larsen, MD
• Rachel Larsen
• Ronald Axel Larsen, M.D.
• Todd S Larsen, DMD
• Thomas Laskowski, LCSW

• Marriage & Family Therapist in Sandy, UT
• Providers in Sandy, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.