JEFFREY D LARSON, LLC (NPI# 1386251163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386251163 |
| Entity Type | Organization |
| Organization Name | JEFFREY D LARSON, LLC |
| Practice Address |
11735 90th Ave Milaca MN 56353-3894 |
| Practice Telephone | 6122518206 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-27 |
| Authorized Official Name | JEFFREY D LARSON (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6122518206 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
11735 90TH AVE |
| City | MILACA |
| State | MN |
| Zip Code | 56353-3894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033467659 | Nancy Hansmeier | Occupational Therapist | 12101 120th Ave, Milaca, MN 56353 | 2012-08-29 |
| 1528345493 | Rum River Health Services, Inc. | Counselor | 640 3rd Street Ne, Milaca, MN 56353 | 2011-11-07 |
| 1720340102 | Morgan Rae Lasalle | Marriage & Family Therapist | 160 3rd Ave Nw, Milaca, MN 56353 | 2012-06-12 |
| 1811914351 | Kimberly Ann Molacek | Optometrist | 132 2nd Ave Sw, Milaca, MN 56353 | 2006-07-17 |
| 1124103569 | Country Meadows of Milaca, Inc. | Assisted Living Facility | 740 2nd St. Se, Milaca, MN 56353-0157 | 2006-10-26 |
| 1740816941 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-03-19 |
| 1497854392 | Kip A Smith | Chiropractor | 115 1st St W, # 3, Milaca, MN 56353-1101 | 2006-09-21 |
| 1215557228 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-04-20 |
| 1750472197 | Hobert Drugs Inc | Durable Medical Equipment & Medical Supplies | 127 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-09-28 |
| 1811929896 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 115 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-07-07 |
| Find all providers in zip 56353 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740833326 | Emily Krantz | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2019-07-22 |
| 1104318922 | Ahnnica Jane Lambrides Baade | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2018-06-06 |
| 1285141648 | Elizabeth A Szybatka | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2018-01-08 |
| 1043759624 | Heather Anderson | Counselor | 160 3rd Ave Nw, Milaca, MN 56353-1555 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1578162012 | Bemidji Autism and Children's Therapy LLC | Counselor | 522 Beltrami Ave Nw Ste 110, Bemidji, MN 56601-3002 | 2020-10-24 |
| 1235746579 | Kesha L Bradford | Counselor | 4315 Irving Ave N, Minneapolis, MN 55412-1258 | 2020-09-30 |
| 1407462849 | Anthony Arthur Duhn | Counselor | 6160 Summit Dr N Ste 375, Brooklyn Center, MN 55430-2251 | 2020-09-21 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1720694722 | Eleanor (ellie) Freerksen | Counselor | 3 3rd Ave Sw, Dodge Center, MN 55927 | 2020-09-16 |
| 1033724356 | Carmen Iverson | Counselor | 13401 Morgan Ave S Apt 133, Burnsville, MN 55337-2058 | 2020-09-14 |
| 1235744640 | Paige Berg | Counselor | 6053 Hudson Rd Ste 344, Woodbury, MN 55125-1011 | 2020-09-11 |
| 1508479700 | Roy Haddad | Counselor | 5861 Cedar Lake Rd, St Louis Park, MN 55416-1653 | 2020-08-26 |
| 1508477514 | Great Lakes Arms Program | Counselor | 2917 15th Ave S, Minneapolis, MN 55407-1427 | 2020-08-12 |
| 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.