AMANDA LARSON (NPI# 1609292713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609292713 |
| Entity Type | Individual |
| Full Name | AMANDA LARSON |
| Other Name | AMANDA WILLIS |
| Credential | M.A., LLP |
| Practice Address |
1009 44th St Sw 103 Wyoming MI 49509 |
| Mailing Address |
1009 44th St Sw 103 Wyoming MI 49509-4480 |
| Practice Telephone | 6167346900 |
| Mailing Telephone | 6167346900 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
6301015820 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
| 1487955316 | Amanda Nicole Larson | Military Health Care Provider | 500 Center St, Building 22, Wahiawa, HI 96786-3007 | 2010-11-09 |
| 1114568912 | Amanda Maria Larson | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2019-10-02 |
| 1154887453 | Amanda Larson | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2019-02-12 |
| 1285150060 | Amanda Larson | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2017-08-14 |
| 1922454727 | Amanda Larson | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2016-05-11 |
| 1275914913 | Amanda Larson | Physical Therapist | 1977 Dewar Dr Ste J, Rock Springs, WY 82901-5757 | 2015-06-17 |
| 1053729327 | Amanda Larson | Registered Nurse | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2014-07-30 |
| 1063789006 | Amanda Larson | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2011-11-18 |
| 1336464544 | Amanda Celest Roof Larson | Orthopaedic Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2010-03-30 |
| Street Address |
1009 44TH ST SW 103 |
| City | WYOMING |
| State | MI |
| Zip Code | 49509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619917572 | Karlin E Sevensma Do PC | Surgery | 1009 44th St Sw, Suite 101, Wyoming, MI 49509-4480 | 2006-06-08 |
| 1790283190 | Jennifer Ann Vanbeek | Marriage & Family Therapist | 1009 44th St Sw, Wyoming, MI 49509-4480 | 2018-01-31 |
| 1538521083 | Grand Rapids Surgical Associates, Pllc | Surgery | 1009 44th St Sw, Ste 101, Wyoming, MI 49509-4480 | 2016-03-23 |
| 1831550979 | Kayley Lafontaine | Psychologist | 1009 44th St Sw, Suite 103, Wyoming, MI 49509 | 2016-03-17 |
| 1689033037 | Jodine Cole Meyer | Psychologist | 1009 44th St Sw, Wyoming, MI 49509 | 2016-02-14 |
| 1619336070 | Nancy Baldus | Counselor | 1009 44th St Sw, Wyoming, MI 49509-4480 | 2016-02-14 |
| 1912366451 | Elizabeth Solan | Psychologist | 1009 44th St Sw, Suite 103b, Wyoming, MI 49509-4480 | 2016-02-11 |
| 1902104029 | Kerent Dominique Pihl | Surgery | 1009 44th St Sw, Ste 101, Wyoming, MI 49509-4480 | 2011-03-14 |
| 1154441376 | Midwest Family Medicine PC | Family Medicine | 1009 44th St Sw, Suite A1, Wyoming, MI 49509-4480 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023620713 | Lindsay Kayann Ottowitz | Behavior Technician | 1428 44th St. Sw, Wyoming, MI 49509 | 2020-08-23 |
| 1750990016 | Lindsay Alexandra Lyszczarz | Behavior Technician | 5281 Clyde Park Ave Se, Suite 2, Wyoming, MI 49509 | 2020-07-23 |
| 1033690409 | Courtney M Garner | Behavior Technician | 1428 44th Street, Wyoming, MI 49509 | 2018-08-23 |
| 1457857195 | Ashley Mae Autio | Case Manager/Care Coordinator | 795 36th Street, Wyoming, MI 49509 | 2018-04-02 |
| 1689124588 | Jacqeulyn Harmon | Behavioral Analyst | 2819 Peckheath Rd Sw Apt D, Wyoming, MI 49509 | 2016-10-04 |
| 1275988925 | Intsar Abdulahe | Social Worker | 1551 Charles Russell, Wyoming, MI 49509 | 2016-05-02 |
| 1992160071 | Concierge Home Care Services of West Michigan, LLC | Home Infusion | 1360 56th Street Sw, Wyoming, MI 49509 | 2015-12-16 |
| 1417349796 | Yashana Duncan | Case Manager/Care Coordinator | 225 Colrain St. Sw, Suite 2, Wyoming, MI 49509 | 2015-02-24 |
| 1710378377 | Rawm Vascular Access, Pllc | Internal Medicine | 1540 36th Street. Sw, Wyoming, MI 49509 | 2015-02-17 |
| 1366882755 | Kevin Timothy Solt | Dentist | 1535 44th St Sw Ste 200, Wyoming, MI 49509 | 2013-06-28 |
| Find all providers in zip 49509 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841701430 | Tonya Antionette Adkins-mckeever | Psychologist | 2511 Newstead Ave Sw, Wyoming, MI 49509-2031 | 2017-10-23 |
| 1578050159 | Caitlin Caprice Erdman | Psychologist | 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 | 2018-04-18 |
| 1831550979 | Kayley Lafontaine | Psychologist | 1009 44th St Sw, Suite 103, Wyoming, MI 49509 | 2016-03-17 |
| 1689033037 | Jodine Cole Meyer | Psychologist | 1009 44th St Sw, Wyoming, MI 49509 | 2016-02-14 |
| 1912366451 | Elizabeth Solan | Psychologist | 1009 44th St Sw, Suite 103b, Wyoming, MI 49509-4480 | 2016-02-11 |
| 1770753899 | Madrid Psychological Associates | Psychologist | 4467 Byron Center Ave Sw, Wyoming, MI 49519-4808 | 2008-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504002 | Being Centered LLC | Psychologist | 716 Amity St, Lowell, MI 49331-1388 | 2020-10-02 |
| 1972115251 | Transformative Counseling Services | Psychologist | 8965 Lenter Dr Se, Caledonia, MI 49316-7793 | 2020-08-19 |
| 1174147755 | Jane Ann Connon | Psychologist | 5619 Downing St, Portage, MI 49024-9519 | 2020-05-30 |
| 1790305068 | Kole Mason | Psychologist | 1549 Pine Valley Blvd Apt 8, Ann Arbor, MI 48104-6917 | 2020-04-16 |
| 1881229151 | Shannon Sugarman Psychotherapy | Psychologist | 27655 Middlebelt Rd Ste 140, Farmington Hills, MI 48334-5029 | 2020-03-07 |
| 1376178020 | Pro-active Counseling LLC | Psychologist | 1410 84th St Sw, Byron Center, MI 49315-9344 | 2020-03-03 |
| 1609416197 | Alexander Sydney Houseknecht | Psychologist | 337 Visser Pl Se, Grand Rapids, MI 49506-1541 | 2020-01-13 |
| 1801431481 | Christine Williams, Ms, LLP,pllc | Psychologist | 190 N Main St Ste D, Plymouth, MI 48170-1236 | 2019-11-07 |
| 1134761398 | Mackenzie Mercer | Psychologist | 5625 Water Tower Pl Ste 310, Clarkston, MI 48346-2674 | 2019-10-09 |
| 1568022465 | Grace Yensch | Psychologist | 1145 W Randall St Ste 2a, Coopersville, MI 49404-1393 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
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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.