MATTHEW H LARSON (NPI# 1710243795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710243795 |
| Entity Type | Individual |
| Full Name | MATTHEW H LARSON |
| Practice Address |
390 East 100 South Ephraim UT 84627 |
| Mailing Address |
Po Box 461 Moroni UT 84646-0461 |
| Practice Telephone | 4358516709 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 272503815 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1235458555 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043534878 | Matthew Golden Larson | Chiropractor | 9316 Carnation Duvall Rd Ne, Carnation, WA 98014-6706 | 2010-03-23 |
| 1417113648 | Matthew J Larson | Driver | 2112 Hoffman Rd, Mankato, MN 56001-5829 | 2008-08-07 |
| 1326002437 | Matthew G. Larson | Social Worker | 24 S 600 E, Ste. 6, Slc, UT 84102 | 2006-04-14 |
| 1346703634 | Matthew Daniel Larson | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-04-12 |
| 1205315108 | Matthew Larson | Physical Therapist | 433 Mendota Rd E, West St Paul, MN 55118-5104 | 2018-08-10 |
| 1316444615 | Matthew Erick Larson | Radiology | 600 Highland Ave, Madison, WI 53792-0001 | 2018-04-12 |
| 1316352834 | Matthew Larson | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515-5430 | 2014-06-23 |
| 1982941027 | Matthew Larson | Social Worker | 16 12th Ave S, Suite 201, Nampa, ID 83651-3936 | 2013-01-09 |
| 1922353739 | Matthew W Larson | Pharmacist | 23 Slayton Ave, Spencerport, NY 14559-1427 | 2012-07-17 |
| 1609134675 | Matthew Thor Larson | Pharmacist | 20 W Main St, Crosby, MN 56441-1422 | 2012-04-27 |
| Street Address |
390 EAST 100 SOUTH |
| City | EPHRAIM |
| State | UT |
| Zip Code | 84627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992079099 | Lighthouse Ranch Corporation | Substance Abuse Rehabilitation Facility | 390 East 100 South, Ephraim, UT 84627 | 2012-03-07 |
| 1821357989 | Alix Sorensen | Counselor | 390 East 100 South, Ephraim, UT 84627-0000 | 2012-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730555400 | Snow College | Specialist/Technologist | 150 E. College Way, Ephraim, UT 84627 | 2015-08-18 |
| 1457601353 | Riley David Beck | Counselor | 390 E 100 S, Ephraim, UT 84627 | 2012-09-18 |
| 1598067647 | Stephanie Irons | Counselor | 45 W 700 S, Ephraim, UT 84627 | 2010-11-23 |
| 1801104054 | Young Women's Empowerment Center | Community Based Residential Treatment Facility, Mental Illness | 90 North 161 West, Young Women's Empowerment Center, Ephraim, UT 84627 | 2010-09-22 |
| 1245548742 | Young Women's Empowerment Center Long Term 3 | Community Based Residential Treatment Facility, Mental Illness | 66 N. 180 W., Ephraim, UT 84627 | 2010-09-17 |
| 1073825402 | Rachel Allen | Social Worker | 45 West 700 South, Ephraim, UT 84627 | 2010-07-14 |
| 1154490613 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 728 N 50 E, Ephraim, UT 84627 | 2006-11-07 |
| 1477656452 | Leland R Thompson | Dentist | 35 E 400 S, Ephraim, UT 84627 | 2006-09-06 |
| 1750312674 | Ephraim City Corporation | Ambulance | 45 E Center St, Ephraim, UT 84627 | 2006-07-06 |
| 1982632600 | Steven D. Brown | Psychologist | 96 S. Main #2, Ephraim, UT 84627 | 2006-06-29 |
| Find all providers in zip 84627 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878299 | Brandy Christine Hundley | Counselor | 68 N 180 W, Ephraim, UT 84627-2130 | 2020-10-15 |
| 1952917882 | Monica E Peterson | Counselor | 390 W 100 N, Ephraim, UT 84627-2131 | 2020-09-16 |
| 1891247995 | Page E Gurney | Counselor | 45 West 700 South, Ephraim, UT 84627 | 2016-10-25 |
| 1780031096 | Camilla Olsen | Counselor | 45 West 700 South, Ephraim, UT 84627-0595 | 2016-05-17 |
| 1396199584 | William Wes Bird | Counselor | 45 West 700 South, Ephraim, UT 84627-0595 | 2016-04-14 |
| 1689034597 | Kami Millett | Counselor | 45 West 700 South, Ephraim, UT 84627-1524 | 2016-03-04 |
| 1619334273 | Tara Lynn Harrison | Counselor | 68 N 180 W, Ephraim, UT 84627-2130 | 2016-01-26 |
| 1689046021 | Toni Albritton | Counselor | 45 West 700 South, Ephraim, UT 84627-1524 | 2015-10-26 |
| 1750752259 | Chandni Patel | Counselor | 45 West 700 South, Ephraim, UT 84627-0595 | 2015-10-12 |
| 1346611944 | Angela Dorothy Neil | Counselor | 90 N 161 W, Ephraim, UT 84627-5542 | 2015-10-08 |
| Find all providers in EPHRAIM | ||||
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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.