KELLI DOWNS LARSON (NPI# 1275774499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275774499 |
| Entity Type | Individual |
| Full Name | KELLI DOWNS LARSON |
| Credential | LCPC |
| Practice Address |
210 N Higgins Ave Suite 320 Missoula MT 59802-4462 |
| Mailing Address |
Po Box 16581 Missoula MT 59808-6581 |
| Practice Telephone | 4062418213 |
| Mailing Telephone | 4062418213 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2010-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1397 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235797770 | Kelli Larson | Nurse Practitioner | 7500 Mercy Rd, Omaha, NE 68124-2319 | 2019-05-30 |
| 1154768927 | Kelli Larson | Counselor | 891 Belsly Blvd, Moorhead, MN 56560-5055 | 2013-06-03 |
| 1629336953 | Kelli Anne Larson | Family Medicine | 107 Ridgewater Dr, Polson, MT 59860-8977 | 2012-04-24 |
| 1821139908 | Kelli J Larson | Pharmacist | 1601 State Ave Nw, Owatonna, MN 55060-5689 | 2007-02-09 |
| Street Address |
210 N HIGGINS AVE SUITE 320 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942259106 | Joyce L Hocker | Psychologist | 210 N Higgins Ave, Ste 309, Missoula, MT 59802-4462 | 2006-05-08 |
| 1194067934 | Jennifer B Hudson | Counselor | 210 N Higgins Ave, Suite 320, Missoula, MT 59802-4462 | 2013-03-19 |
| 1477753366 | Diane V Haddon Pllc | Social Worker | 210 N Higgins Ave, Suite 324, Missoula, MT 59802-4462 | 2007-07-19 |
| 1871706408 | Petra Gerarda De Groot | Counselor | 210 N Higgins Ave, Suite 327, Missoula, MT 59802-4462 | 2007-05-08 |
| 1134348642 | Mary Jo Barrett | Social Worker | 210 N Higgins Ave, Suite 338, Missoula, MT 59802-4462 | 2007-04-24 |
| 1184842635 | Shan Guisinger | Psychologist | 210 N Higgins Ave, Ste 310, Missoula, MT 59802-4462 | 2007-04-22 |
| 1154469419 | Kerry S. Maier | Counselor | 210 N Higgins Ave, Suite 320, Missoula, MT 59802-4462 | 2007-02-01 |
| 1407913148 | Donna M Ridgeway | Counselor | 210 N Higgins Ave, #326, Missoula, MT 59802-4462 | 2007-01-02 |
| 1720008444 | Beverly Jackson | Counselor | 210 N Higgins Ave, 316, Missoula, MT 59802-4462 | 2006-07-19 |
| 1376588129 | Joyce L Hocker and Assoc PC | Psychologist | 210 N Higgins Ave, 309, Missoula, MT 59802-4462 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616489 | Heather Nichols | Counselor | 12195 Pulp Mill Rd, Missoula, MT 59808-9711 | 2020-10-16 |
| 1609489822 | Chrysalis Counseling | Counselor | 1119 W Kent Ave Ste F, Missoula, MT 59801-6687 | 2020-08-27 |
| 1699305029 | Jeffrey Valentine | Counselor | 3011 American Way, Missoula, MT 59808-1921 | 2020-01-24 |
| 1871052134 | Joseph Brent Suchanic | Counselor | 500 N Higgins Ave Ste 107, Missoula, MT 59802-4550 | 2019-03-17 |
| 1861958431 | Amy Friedman | Counselor | 720 Brooks St., Missoula, MT 59801-5980 | 2019-02-19 |
| 1033683594 | Ariel Goodman | Counselor | 633 S 3rd St W Apt 4, Missoula, MT 59801-2541 | 2019-01-17 |
| 1922570324 | Beth D Howard | Counselor | 2901 W Broadway St Ste 206, Missoula, MT 59808-1773 | 2018-12-23 |
| 1972074888 | Kristin Kimberly Stratford | Counselor | 2831 Fort Missoula Rd Ste 305, Missoula, MT 59804-7479 | 2018-12-17 |
| 1043728314 | Ayme Lynne Krogstad | Counselor | 2237 S 3rd St W, Missoula, MT 59801-1334 | 2018-01-19 |
| 1821523580 | Stacey Lynn Graves | Counselor | 913 Sw Higgins Ave Ste 202, Missoula, MT 59803-1423 | 2017-05-01 |
| Find all providers in MISSOULA | ||||
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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.