CORINNE LESLIE LARSON (NPI# 1326412586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326412586 |
Entity Type | Individual |
Full Name | CORINNE LESLIE LARSON |
Credential | LPCC |
Practice Address |
9352 Oak Ave Waconia MN 55387-9422 |
Practice Telephone | 9529554714 |
Mailing Telephone | 9529554714 |
Enumeration Date | 2015-11-25 |
Last Update Date | 2020-04-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
2212 | MN | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1833 3rd Ave, Anoka, MN 553032424 | 7634215535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013389733 | Corinne S Larson | Dietitian, Registered | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2015-10-21 |
1821490707 | Corinne Tower Coldwell Larson | Speech-Language Pathologist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2014-09-22 |
1144302258 | Corinne Larson | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-2025 | 2006-10-19 |
Street Address |
9352 OAK AVE |
City | WACONIA |
State | MN |
Zip Code | 55387-9422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154699015 | Clayton Joseph Egli | Psychologist | 9352 Oak Ave, Waconia, MN 55387-9422 | 2011-12-07 |
1164943601 | Jenna Marie Edlund | Psychologist | 9352 Oak Ave, Waconia, MN 55387-9422 | 2017-07-06 |
1528417862 | Sally Sparby | Counselor | 9352 Oak Ave, Waconia, MN 55387-9422 | 2016-06-07 |
1205105632 | Andrea Kileen Egli | Psychologist | 9352 Oak Ave, Waconia, MN 55387-9422 | 2011-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
Find all providers in zip 55387 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407112675 | Katelin Ann Murphy | Counselor | 712 Vista Blvd # 143, Waconia, MN 55387-4559 | 2012-04-02 |
1063079762 | Charell Dutton | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2019-05-29 |
1437650447 | Elizabeth Smith Noonan | Counselor | 540 E 1st St, Waconia, MN 55387-1600 | 2018-02-25 |
1326583626 | Rebecca Jean Hines | Counselor | 113 W Main St, Waconia, MN 55387-1023 | 2016-12-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
1578162012 | Bemidji Autism and Children's Therapy LLC | Counselor | 522 Beltrami Ave Nw Ste 110, Bemidji, MN 56601-3002 | 2020-10-24 |
1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
1386251163 | Jeffrey D Larson, LLC | Counselor | 11735 90th Ave, Milaca, MN 56353-3894 | 2020-09-25 |
1407462849 | Anthony Arthur Duhn | Counselor | 6160 Summit Dr N Ste 375, Brooklyn Center, MN 55430-2251 | 2020-09-21 |
1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
1720694722 | Eleanor (ellie) Freerksen | Counselor | 3 3rd Ave Sw, Dodge Center, MN 55927 | 2020-09-16 |
1033724356 | Carmen Iverson | Counselor | 13401 Morgan Ave S Apt 133, Burnsville, MN 55337-2058 | 2020-09-14 |
1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
1508479700 | Roy Haddad | Counselor | 5861 Cedar Lake Rd, St Louis Park, MN 55416-1653 | 2020-08-26 |
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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.