ANNETTE MARIE LARSON (NPI# 1174972715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174972715 |
| Entity Type | Individual |
| Full Name | ANNETTE MARIE LARSON |
| Credential | M.A., L.P.C., LADC |
| Practice Address |
199 Coon Rapids Blvd Nw Suite 310 Coon Rapids MN 55433-5831 |
| Mailing Address |
3328 92nd Dr Ne Blaine MN 55449-6851 |
| Practice Telephone | 7637858111 |
| Practice Fax Number | 7637858111 |
| Mailing Telephone | 7634441321 |
| Mailing Fax Number | 7637858111 |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2016-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
303923 | MN | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
01859 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY, ALCOHOL AND DR | 303923 | 01 |
| MN | MINNESOTA BOARD OF BEHAVIORAL HEALTH AND THERAPY,LICENSED PROFES | 01859 | 01 |
| MN | MINNESOTA CERTIFICATION BOARD, ALCOHOL AND DRUG COUNSELOR-MINNES | 7078 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528583846 | Annette Marie Larson | Physician Assistant | 1451 44th Ave S Ste E, Grand Forks, ND 58201-3434 | 2017-08-08 |
| 1649361445 | Annette Clarine Larson | Physician Assistant | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-09-27 |
| Street Address |
199 COON RAPIDS BLVD NW SUITE 310 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326010992 | Adelle Daigle-bjerke | Nurse Anesthetist, Certified Registered | 199 Coon Rapids Blvd Nw, Suite 113, Coon Rapids, MN 55433-5831 | 2006-02-07 |
| 1689034175 | Jack Wu | Marriage & Family Therapist | 199 Coon Rapids Blvd Nw, Suite 210, Coon Rapids, MN 55433-5831 | 2016-02-26 |
| 1265897011 | Matthew Lee Sutera | Counselor | 199 Coon Rapids Blvd Nw, Suite 306, Coon Rapids, MN 55433-5831 | 2015-12-21 |
| 1891101747 | Ecumen | Home Health | 199 Coon Rapids Blvd Nw, #111, Coon Rapids, MN 55433-5831 | 2014-07-10 |
| 1053650028 | Family Strengths Counseling Group, LLC | Marriage & Family Therapist | 199 Coon Rapids Blvd Nw, Suite 210, Coon Rapids, MN 55433-5831 | 2013-02-11 |
| 1134358336 | Julianne E. Love | Marriage & Family Therapist | 199 Coon Rapids Blvd Nw, Suite 310, Coon Rapids, MN 55433-5831 | 2009-07-08 |
| 1699953794 | Steven Peter Johnson | Marriage & Family Therapist | 199 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-5831 | 2008-01-31 |
| 1407919921 | Janet Lee Erickson | Marriage & Family Therapist | 199 Coon Rapids Blvd Nw, Suite 306, Coon Rapids, MN 55433-5831 | 2006-12-18 |
| 1619047594 | Judith Ann Driscoll | Marriage & Family Therapist | 199 Coon Rapids Blvd Nw, Suite 306, Coon Rapids, MN 55433-5831 | 2006-11-08 |
| 1154405868 | Gary Rex Beaver | Psychologist | 199 Coon Rapids Blvd Nw, Suite 306, Coon Rapids, MN 55433-5831 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952537839 | Erika Mcafee | Counselor | 2079 128th Ln Nw, Coon Rapids, MN 55448-2521 | 2009-06-05 |
| 1932717022 | Kyle Erich Dufek | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2020-07-15 |
| 1114544087 | Hong Fa Thao | Counselor | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2020-06-26 |
| 1265071740 | Burt Jeffery Edwards | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2019-12-31 |
| 1144869801 | Andrea Workman | Counselor | 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638 | 2019-12-29 |
| 1972075893 | Shu-chun Lee | Counselor | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2018-12-18 |
| 1073081535 | Adam Palowski | Counselor | 10077 Dogwood St Nw, Coon Rapids, MN 55448-5286 | 2018-11-02 |
| 1578030375 | Isaac Boike | Counselor | 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 | 2018-10-30 |
| 1083108138 | Kristal Ficzeri | Counselor | 3833 Coon Rapids Blvd Nw Ste 120, Coon Rapids, MN 55433-2599 | 2018-06-20 |
| 1649783770 | Marissa Emily Marx | Counselor | 9120 Springbrook Dr Nw, Coon Rapids, MN 55433-5845 | 2017-11-11 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on ANNETTE MARIE 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.