Sydney Simpson Larsen, MA, LPC, CADC,

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401012237 Issued in MI

Practice address

1199 Harris Ave
Tawas City, MI 48763-9681

Phone

(989) 739-1469

NPI assigned

Sep 19, 2018

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

• Ms. Sydney Simpson Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1992289656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 HARRIS AVE",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639681",
            "telephone_number": "989-739-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 HARRIS AVE",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639681",
            "telephone_number": "989-739-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "SYDNEY",
        "middle_name": "SIMPSON",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, CADC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01027",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401012237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "SMITH",
            "middle_name": "SIMPSON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nancy Elaine Laidlaw, AUD
• Lakeview Manor Acquisition Company, Inc.
• Christopher Russell Landrey, DO
• David Ballard Lane Jr., LMSW, LLP, LPC
• Melissa Loraine Lane, LLP
• Melissa Lavigne, RN
• Keith Lawrence
• Ronald John Leclair, D.C.
• Jaesung Lee, RPH
• John L Lesneski, DDS

• Counselor in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.