MRS. MELISSA JO LARSON (NPI# 1548692155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548692155 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA JO LARSON |
| Credential | LPC |
| Practice Address |
2311 Park Ave Ste 3 Burley ID 83318-2104 |
| Mailing Address |
258 S 150 E Burley ID 83318-5711 |
| Practice Telephone | 2086783555 |
| Practice Fax Number | 2086783556 |
| Mailing Telephone | 2084312995 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-5365 | ID | 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 |
| 1114299500 | Melissa Larson | Licensed Practical Nurse | 99 Washington Ave, Suffern, NY 10901-6026 | 2012-02-01 |
| 1578857876 | Melissa Rene Larson | Counselor | 1172 3rd Ave, Chula Vista, CA 91911-3116 | 2011-06-03 |
| Street Address |
2311 PARK AVE STE 3 |
| City | BURLEY |
| State | ID |
| Zip Code | 83318-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588918817 | A Plus Solutions Center | Clinic/Center | 2311 Park Ave Ste 3, Burley, ID 83318-2104 | 2012-11-08 |
| 1700395209 | Smithson Counseling LLC | Clinic/Center | 2311 Park Ave Ste 3, Burley, ID 83318-2104 | 2017-09-27 |
| 1801325899 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 2311 Park Ave Ste 3, Burley, ID 83318-2104 | 2017-06-05 |
| 1477975738 | A Plus Solutions Center, LLC | In Home Supportive Care | 2311 Park Ave Ste 3, Burley, ID 83318-2104 | 2014-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902366834 | Pain & Spine Consultants | Clinic/Center | 1344 Hiland Avenue, Ste A, Burley, ID 83318 | 2019-03-25 |
| 1609335090 | Hurst Medical Pllc | Clinic/Center | 1700 Overland Ave Ste 1, Burley, ID 83318 | 2019-03-15 |
| 1831654243 | Mini-cassia Hearts 4 Seniors | In Home Supportive Care | 135 East 23rd Drive, Burley, ID 83318 | 2019-02-11 |
| 1841760493 | Burley Family Dental Pllc | Dentist | 2200 Parke Ave Ste 2, Burley, ID 83318 | 2018-11-27 |
| 1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
| 1285024497 | Albion Valley Health Clinic Inc. | Clinic/Center | 400 West 5th Street, Burley, ID 83318 | 2015-01-26 |
| 1124372370 | A Plus Solutions Center | Clinic/Center | 2311 Parke Ave. Unit 3, Suite 12, Burley, ID 83318 | 2012-11-08 |
| 1831442805 | A Plus Solutions Developmental Center LLC | Day Training, Developmentally Disabled Services | 2251 Overland Avenue, Suite Number 5, Burley, ID 83318 | 2012-10-16 |
| 1619258159 | Keleah Margrete Goldammer | Occupational Therapist | 2303 Parke Avenue, Burley, ID 83318 | 2011-08-29 |
| 1932490984 | Tamera Chatburn | Counselor | 531 East 5th St., Preferred Child and Family Services, Burley, ID 83318 | 2011-04-26 |
| Find all providers in zip 83318 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710503909 | Family Health Services Corporation | Counselor | 700 W 16th St, Burley, ID 83318-1710 | 2020-06-23 |
| 1922661404 | Family Health Services Corporation | Counselor | 1010 W 17th St, Burley, ID 83318-1746 | 2019-04-19 |
| 1952847857 | Andrea Gochnour | Counselor | 531 E 5th St, Burley, ID 83318-1469 | 2017-01-16 |
| 1518326263 | Garrett Condie | Counselor | 1321 Oakley Ave, Burley, ID 83318-1859 | 2016-02-22 |
| 1396137527 | Natalie Fern Bell | Counselor | 658 Overland Ave Ste 8, Burley, ID 83318-1300 | 2015-02-25 |
| 1295023711 | Susannah Marie West | Counselor | 2271 Overland Ave Ste 5, Burley, ID 83318-2957 | 2011-07-18 |
| 1285921643 | Duane Broderick | Counselor | 2311 Parke Ave., Ste. 8, Burley, ID 83350 | 2011-07-06 |
| 1841307188 | A Plus Solutions | Counselor | 2311 Park Ave, Unit 3 Suite 12, Burley, ID 83318-2170 | 2006-08-24 |
| 1477106995 | Nancy Manrique | Counselor | 531 E 5th St, Burley, ID 83318-1469 | 2019-07-23 |
| 1023513777 | Nohemi Vasquez | Counselor | 2223 Overland Ave, Burley, ID 83318-2929 | 2018-03-26 |
| Find all providers in BURLEY | ||||
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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.