ERIC JOHN LARSON (NPI# 1326003344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326003344 |
| Entity Type | Individual |
| Full Name | ERIC JOHN LARSON |
| Credential | EL CADC BS |
| Practice Address |
109 E Eureka Eureka IL 61530 |
| Practice Telephone | 3094673770 |
| Practice Fax Number | 3094675356 |
| Mailing Telephone | 3094673770 |
| Mailing Fax Number | 3094675356 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14471 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649696857 | Eric Larson | Dentist | 16825 Smokey Point Blvd, Arlington, WA 98223-8407 | 2014-03-12 |
| 1164725511 | Eric Thomas Larson | Registered Nurse | 3272 Oak View Dr, Woodbury, MN 55129-9370 | 2010-12-07 |
| 1053454819 | Eric John Larson | Chiropractor | 676 Mullins Colony Dr, Evans, GA 30809-0579 | 2007-02-14 |
| 1518039445 | Eric C Larson | Dentist | 1831 N. Rock Rd. Suite 101, Wichita, KS 67206 | 2006-11-15 |
| 1841386968 | Eric K Larson | Psychiatry & Neurology | 280 Pleasant Street, Suite 12, Concord, NH 03301-2553 | 2006-10-05 |
| 1881785244 | Eric J Larson | Internal Medicine | 201 East 3rd Avenue South, Cavalier, ND 58220 | 2006-09-28 |
| 1578592838 | Eric Windsor Larson Sr. | Military Health Care Provider | 580 Uss Mariano G Vallejo Ave, Nssc Medical Kings Bay, Kings Bay, GA 31547 | 2006-06-30 |
| 1275513467 | Eric M Larson | Ophthalmology | 1885 West Pointe Dr, Oshkosh, WI 54902-4174 | 2006-01-23 |
| 1487016432 | Eric Stanley Larson | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Box 801016, Charlottesville, VA 22908-0816 | 2016-03-28 |
| 1629434733 | Eric Peter Larson | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2016-01-05 |
| Street Address |
109 E EUREKA |
| City | EUREKA |
| State | IL |
| Zip Code | 61530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134464316 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 101 S. Major Street, Eureka, IL 61530 | 2012-11-29 |
| 1508009234 | Woodford County | Substance Abuse Rehabilitation Facility | 105 E Court St, Eureka, IL 61530 | 2009-04-10 |
| 1609889914 | Apostolic Christian Home of Eureka | Skilled Nursing Facility | 610 W. Cruger St., Eureka, IL 61530 | 2006-08-15 |
| 1467789511 | Julie Tuttle | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61530 | 2009-11-11 |
| 1720073414 | Maple Lawn Health Center | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2005-09-19 |
| 1992158356 | Kendra Mickelson | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-07-20 |
| 1720439110 | Loft Rehabilitation and Nursing LLC | Skilled Nursing Facility | 700 N Main St, Eureka, IL 61530-1085 | 2016-06-27 |
| 1841470374 | Maple Lawn Homes Inc. | Clinic/Center | 700 N Main St, Eureka, IL 61530-1085 | 2007-11-13 |
| 1093818767 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 501 W Center St, Eureka, IL 61530-1111 | 2006-09-07 |
| 1871911859 | Alan Stutzman | Pharmacist | 501 W Center St, Eureka, IL 61530-1111 | 2014-04-07 |
| Find all providers in zip 61530 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784707 | Tiffany Cherie Hall | Counselor | 1219 10th St, Eureka, CA 95501-2024 | 2020-06-12 |
| 1053945527 | Gayla Carol Judd | Counselor | 944 N St, Eureka, CA 95501-2045 | 2020-02-24 |
| 1750913646 | Donald Ray Rivers | Counselor | 1024 N St, Eureka, CA 95501-2047 | 2020-02-07 |
| 1619455680 | Melina Jane Gold | Counselor | 2107 1st St, Eureka, CA 95501-0840 | 2018-08-01 |
| 1265921639 | Glacier Clinic LLC | Counselor | 99 Mills Spring Rd Ste 1, Eureka, MT 59917 | 2018-05-01 |
| 1376057182 | North Coast Substance Abuse Council | Counselor | 1205 Myrtle Ave, Eureka, CA 95501-1224 | 2017-12-01 |
| 1710126347 | Lisa C Silva | Counselor | 2734 Hubbard Lane, Eureka, CA 95501 | 2009-02-04 |
| 1245368331 | Eric Helland Nelson | Counselor | 3940 Cedar St, Eureka, CA 95503-7615 | 2007-03-01 |
| 1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
| 1700491123 | Leta May Perriello | Counselor | 2107 1st St, Eureka, CA 95501-0840 | 2020-09-11 |
| Find all providers in EUREKA | ||||
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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.