BRIAN LARSEN (NPI# 1376990291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376990291 |
| Entity Type | Individual |
| Full Name | BRIAN LARSEN |
| Credential | MA, LPC |
| Practice Address |
4123 Meachem Rd Mount Pleasant WI 53403-3912 |
| Practice Telephone | 7739106003 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6467-125 | WI | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
180010010 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386962108 | Brian Scott Larsen | Chiropractor | 389 Nevada St., Auburn, CA 95603 | 2010-05-05 |
| 1871505966 | Brian R Larsen | Dentist | 2115 Westlake Ave, Seattle, WA 98122 | 2006-08-13 |
| 1366768533 | Brian Timothy Larsen | Internal Medicine | 610 Nw 11th St, Hermiston, OR 97838-6601 | 2010-04-13 |
| 1083871974 | Brian Larsen | Ophthalmology | 4401 S Harlem Ave, Stickney, IL 60402-4250 | 2008-05-19 |
| 1114140779 | Brian John Larsen | Pharmacist | 10130 S State St, Sandy, UT 84070-4118 | 2007-04-11 |
| 1700908795 | Brian M Larsen | Chiropractor | 507 Knight St, Suite B, Richland, WA 99352-4258 | 2007-04-03 |
| 1205993961 | Brian Therald Larsen | Physical Therapist | 1300 N 500 E, Logan, UT 84341-2408 | 2007-01-02 |
| 1538129697 | Brian D. Larsen | Internal Medicine | 800 E 28th St, Mr 11326, Minneapolis, MN 55407-3723 | 2006-03-24 |
| 1790776383 | Brian K Larsen | Anesthesiology | 700 West Ave S, La Crosse, WI 54601-4783 | 2005-11-02 |
| Street Address |
4123 MEACHEM RD |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53403-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360507 | Susana Bryce Sharpley | Counselor | 3897 Maidstone Dr, Mount Pleasant, SC 29466-7558 | 2020-09-15 |
| 1114547148 | Sydney Rae Davis | Counselor | 307 E Michigan St, Mount Pleasant, MI 48858-2641 | 2020-04-20 |
| 1679110779 | Amy Peterson | Counselor | 6233 Durand Ave Ste F, Mount Pleasant, WI 53406-4961 | 2019-12-08 |
| 1114561255 | Thorington Counseling Services Pllc | Counselor | 122 N Lansing St, Mount Pleasant, MI 48858-1632 | 2019-11-01 |
| 1891271292 | Katarzyna Ciszewski | Counselor | 181 Bayfront Dr Unit 422, Mount Pleasant, SC 29464-1855 | 2018-07-18 |
| 1740797000 | Jessica Michelle Miller | Counselor | 1200 S Washington Street 139 Robinson, Mount Pleasant, MI 48859-0001 | 2018-01-08 |
| 1750817060 | Jennifer Giegler | Counselor | 113 W Broadway St Ste 115, Mount Pleasant, MI 48858-2556 | 2017-05-05 |
| 1699215798 | Steven Bard | Counselor | 3176 E Deerfield Rd, Apt 208, Mount Pleasant, MI 48858-4472 | 2017-03-08 |
| 1982142790 | Pamela Sue Myslivec | Counselor | 143 Cedar Dr, Mount Pleasant, MI 48858-9025 | 2017-02-01 |
| 1962947499 | Richard Tindall | Counselor | 887 Johnnie Dodds Blvd Ste 223, Mount Pleasant, SC 29464-3154 | 2016-12-19 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53403 |
Please comment or provide details below to improve the information on BRIAN LARSEN.
| 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.