SANDRA L LARSON (NPI# 1174614408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174614408 |
| Entity Type | Individual |
| Full Name | SANDRA L LARSON |
| Credential | LPC |
| Practice Address |
401 Stageline Rd Hudson WI 54016-7897 |
| Mailing Address |
1023 Oak St Hudson WI 54016-1435 |
| Practice Telephone | 7155316760 |
| Mailing Telephone | 7153869846 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1385125 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265862866 | Sandra Larson | Student in an Organized Health Care Education/Training Program | 3740 W Market Center Dr Ste 1200, Riverton, UT 84065-8026 | 2013-11-18 |
| 1730400383 | Sandra L Larson | Social Worker | 1064 Brooklawn Ct, Troy, MI 48084-2621 | 2010-06-17 |
| 1619039922 | Sandra Sue Larson | Dentist | 1919 South 40th St, Suite 105, Lincoln, NE 68506-5247 | 2006-12-14 |
| 1407460892 | Sandra Larson | Behavior Technician | 2428 N Grand Ave Ste K, Santa Ana, CA 92705-8708 | 2020-09-02 |
| 1760033658 | Sandra Larson | Counselor | 500 Barfield Dr, Hastings, MI 49058-9018 | 2019-09-23 |
| 1396779773 | Sandra Larson | Registered Nurse | 333 N Madison St, Joliet, IL 60435 | 2006-07-10 |
| 1659310845 | Sandra K Larson | Physical Therapist | 516 Montgomery St, Decorah, IA 52101-2720 | 2006-06-05 |
| Street Address |
401 STAGELINE RD |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-7897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267396 | Michele Anne Drevnick | Audiologist | 401 Stageline Rd, Suite 6, Hudson, WI 54016-7897 | 2005-07-07 |
| 1548349848 | James Harold Broecker | Marriage & Family Therapist | 401 Stageline Rd, Suite 7, Hudson, WI 54016-7897 | 2006-11-06 |
| 1114018447 | Raena Sue Deperry | Audiologist | 401 Stageline Rd, Ste. 6, Hudson, WI 54016-7897 | 2006-09-28 |
| 1548278203 | Mary Ellen Jacks | Marriage & Family Therapist | 401 Stageline Rd, Suite 7, Hudson, WI 54016-7897 | 2006-08-04 |
| 1457373441 | Pamela J. Henkel D.b.a. Hudson Counseling Services | Counselor | 401 Stageline Rd, Suite 7, Hudson, WI 54016-7897 | 2006-07-25 |
| 1639125792 | Lucy Lynn Pirner | Counselor | 401 Stageline Rd, Hudson Counseling Services Ste. 7, Hudson, WI 54016-7897 | 2006-05-26 |
| 1841246204 | Lucy Pirner | Counselor | 401 Stageline Rd, Hudson Counseling Services Ste. 7, Hudson, WI 54016-7897 | 2006-05-26 |
| 1710984562 | Hudson Hearing & Speech Clinic Inc | Speech-Language Pathologist | 401 Stageline Rd, Suite 6, Hudson, WI 54016-7897 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780786 | Whitestone Counseling of Nh | Counselor | 32 Glasgow Cir, Hudson, NH 03051-3759 | 2020-08-12 |
| 1578187860 | Lorraine Coley Gray | Counselor | 442 Union St, Hudson, NY 12534-2427 | 2020-06-02 |
| 1124667878 | Sarah Antes | Counselor | 118 Parmelee Dr, Hudson, OH 44236-3428 | 2019-12-29 |
| 1508414905 | Ajs Mental Health Counseling Pllc | Counselor | 335 Roxbury Rd, Hudson, NY 12534-3624 | 2019-08-28 |
| 1992279061 | Adam Mintz | Counselor | 45 Main St Ste 403, Hudson, MA 01749-2166 | 2019-01-11 |
| 1518443589 | Ryan James Hebert | Counselor | 14 Blueberry Ln, Hudson, MA 01749-2861 | 2018-07-12 |
| 1659881605 | Alanna Eileen Debany | Counselor | 71 Prospect Ave # 5b, Hudson, NY 12534-2907 | 2017-10-04 |
| 1336663830 | John Peter Cahill | Counselor | 325 Columbia St Ste 300, Hudson, NY 12534-1931 | 2017-07-27 |
| 1598203473 | Kara Elizabeth Poland | Counselor | 38a Winslow Farm Rd, Hudson, NH 03051-5330 | 2017-02-10 |
| 1508315433 | Rachel Devita | Counselor | 956 Fox Hollow Dr, Hudson, NH 03051-4889 | 2016-10-04 |
| Find all providers in HUDSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.