MR. JOHN PAUL LARSON (NPI# 1619520251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619520251 |
| Entity Type | Individual |
| Full Name | MR. JOHN PAUL LARSON |
| Credential | SAC-IT |
| Practice Address |
430 E Division St Fond Du Lac WI 54935-4560 |
| Practice Telephone | 9209264172 |
| Mailing Telephone | 9209264172 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18138-130 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114100278 | John P Larson | Counselor | 2703 Frontier St Ne, Suite 120 Msc11 6145, Albuquerque, NM 87131 | 2007-12-12 |
| 1427125467 | John W Larson | Dentist | 1290 W Centennial Blvd, Suite 1, Springfield, OR 97477-3566 | 2006-11-28 |
| 1285642975 | John W Larson | Chiropractor | 1740 Weir Dr, Suite 24, Woodbury, MN 55125-2282 | 2006-08-04 |
| 1174537757 | John Christopher Larson | Chiropractor | 11328 Kenyon Way, B, Rancho Cucamonga, CA 91701-9265 | 2006-07-28 |
| 1487606679 | John Jeffrey Larson | Specialist/Technologist | 6701 N Jean Nicolet Rd, Milwaukee, WI 53217-3701 | 2006-05-16 |
| 1215932173 | John Robert Larson | Family Medicine | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2005-06-16 |
| 1669098547 | John Larson | Case Manager/Care Coordinator | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2020-06-17 |
| 1144783408 | John S Larson | Nurse Practitioner | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2019-04-12 |
| 1437671237 | John Dylan Larson | Student in an Organized Health Care Education/Training Program | 100 Woodruff Cir Ne, Atlanta, GA 30322-1020 | 2017-07-13 |
| 1982152609 | John Larson | Psychologist | 525 E Illinois St, Spearfish, SD 57783-2521 | 2016-09-12 |
| Street Address |
430 E DIVISION ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157831 | Gilberto Cantu | Nurse Anesthetist, Certified Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2005-07-09 |
| 1992306310 | Leah Timm | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-11-03 |
| 1982212312 | Tiffany M Parker | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-07-22 |
| 1619594355 | Brynn Sytsma | Student in an Organized Health Care Education/Training Program | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-29 |
| 1891312633 | Joshua Mckinney | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-06-27 |
| 1275153264 | Jacalyn Lucille Wendt Coleman | Dietitian, Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-04-20 |
| 1568090884 | Jaclyn R Monteverde | Physician Assistant | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-03-31 |
| 1235766718 | Emily Jean Thiel | Dietitian, Registered | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-03-25 |
| 1326674136 | Alexandria Lynn Hefter | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2020-03-13 |
| 1952933046 | Gina Paveglio | Registered Nurse | 430 E Division St, Surgery Dept, Fond Du Lac, WI 54935 | 2020-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427824 | Bethany Krofta | Counselor | 23 W Scott St # At, Fond Du Lac, WI 54935-2342 | 2018-11-28 |
| 1942675236 | Chrystal Stephany | Counselor | N7640 Cty Rd Wh, Ste 200, Fond Du Lac, WI 54935-5493 | 2015-12-11 |
| 1598143059 | Wisconsin Lutheran Child & Family Services, Inc | Counselor | 475 E Merrill Ave, Fond Du Lac, WI 54935-3749 | 2015-05-15 |
| 1992960017 | Jamie Lynn Renard | Counselor | 23 W. Scott St., Fond Du Lac, WI 54935 | 2008-07-29 |
| 1194891994 | Stephen H Roberts | Counselor | 40 Camelot Drive, Fond Du Lac, WI 54935 | 2006-11-27 |
| 1710534748 | Carin Lynn Fuerstenberg | Counselor | 23 W Scott St, Fond Du Lac, WI 54935-2342 | 2019-08-23 |
| 1164077178 | Samantha J Schaefer | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2019-08-06 |
| 1568016699 | Lindsey Rasmussen | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-26 |
| 1972165017 | Joseph Babiak | Counselor | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2019-06-28 |
| 1215593298 | Kathy Hoover | Counselor | 23 W Scott St, Fond Du Lac, WI 54935-2342 | 2019-05-15 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
Please comment or provide details below to improve the information on MR. JOHN PAUL 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.