MELISSA RENE LARSON (NPI# 1578857876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578857876 |
| Entity Type | Individual |
| Full Name | MELISSA RENE LARSON |
| Other Name | MELISSA RENE ATKINS |
| Credential | CADAC-CAS |
| Practice Address |
1172 3rd Ave Chula Vista CA 91911-3116 |
| Practice Telephone | 6196911662 |
| Mailing Telephone | 6196911662 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2015-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392001 | Melissa Larson | Social Worker | 400 E North St, Somonauk, IL 60552-3162 | 2020-07-01 |
| 1215387303 | Melissa Larson | Specialist/Technologist, Other | 2150 Town Square Pl Ste 250, Sugar Land, TX 77479-1676 | 2016-06-20 |
| 1710316302 | Melissa Kay Larson | Registered Nurse | 1325 Michigan Ave, Adrian, MI 49221-2526 | 2013-11-05 |
| 1851638175 | Melissa Irene Larson | Massage Therapist | 7516 Bridgeport Way W, Lakewood, WA 98499-8448 | 2013-01-07 |
| 1437408457 | Melissa Kim Larson | Speech-Language Pathologist | 5384 Chelsea St, La Jolla, CA 92037-7912 | 2012-09-05 |
| 1639655319 | Melissa Ann Larson | Speech-Language Pathologist | 147 E Olive Ave, Monrovia, CA 91016-3407 | 2018-07-16 |
| 1336625409 | Melissa Larson | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526-4673 | 2018-07-12 |
| 1972050961 | Melissa Diane Larson | Family Medicine | 13260 Service Rd, Walton, KY 41094-9565 | 2016-09-07 |
| 1548692155 | Melissa Jo Larson | Counselor | 2311 Park Ave Ste 3, Burley, ID 83318-2104 | 2013-08-06 |
| 1114299500 | Melissa Larson | Licensed Practical Nurse | 99 Washington Ave, Suffern, NY 10901-6026 | 2012-02-01 |
| Street Address |
1172 3RD AVE |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952439804 | Mental Health Systems, Inc. | Community/Behavioral Health | 1172 3rd Ave, Suite D1, Chula Vista, CA 91911-3116 | 2007-03-01 |
| 1962940486 | Monique Little | Counselor | 1172 3rd Ave, Chula Vista, CA 91911-3116 | 2017-02-03 |
| 1043650724 | Ebony M Goff | Counselor | 1172 3rd Ave, Ste D-1, Chula Vista, CA 91911-3116 | 2013-06-26 |
| 1386846822 | Arturo Molina | Counselor | 1172 3rd Ave, Suite D-1, Chula Vista, CA 91911-3116 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288088 | Rhett Creel | Counselor | 1172 Third Ave Ste D, Chula Vista, CA 91911-3116 | 2020-06-01 |
| 1841848157 | Leanna Marie Amundson | Counselor | 1180 3rd Ave Ste C3c4, Chula Vista, CA 91911-3139 | 2019-08-29 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1568924884 | Irene Merritt | Counselor | 1172 Third Ave Ste D1, Chula Vista, CA 91911-3116 | 2019-04-04 |
| 1124585542 | Ronald Laurence Smith | Counselor | 73 N 2nd Ave, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1841757267 | Jesus Abel Rodriguez | Counselor | 73 N 2nd Ave Apt B, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1053887414 | Javier A Ballesteros | Counselor | 1095 Bay Blvd, Chula Vista, CA 91911-1648 | 2018-10-23 |
| 1942704051 | Elias Khathori Najor | Counselor | 1180 Third Ave Ste 3, Chula Vista, CA 91911-3139 | 2018-03-22 |
| 1033610035 | Sadie Marie Callanan | Counselor | 1180 Third Ave, Chula Vista, CA 91911-3139 | 2018-02-24 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on MELISSA RENE LARSON.
| 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.