MR. DAVID BRIAN LARSON (NPI# 1740811595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740811595 |
| Entity Type | Individual |
| Full Name | MR. DAVID BRIAN LARSON |
| Practice Address |
548 Sw 13th St Bend OR 97702-3184 |
| Mailing Address |
3087 Ne Weeping Willow Dr Bend OR 97701-5871 |
| Practice Telephone | 5413888459 |
| Practice Fax Number | 5413888116 |
| Mailing Telephone | 5417288594 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003280082 | David Vernon Larson | Pharmacist | 31236 N Trail Dust Dr, San Tan Valley, AZ 85143-4139 | 2015-11-13 |
| 1609164391 | David Michael Larson | Family Medicine | 345 Saxony Rd Ste 206, Encinitas, CA 92024-2792 | 2011-07-14 |
| 1528113677 | David W Larson | Dentist | 216 Sw 156th St Ste 2b, Burien, WA 98166-2566 | 2007-01-25 |
| 1174691752 | David Darrell Larson | Dentist | 6415 Forest Hills Road, Rockford, IL 61114 | 2006-12-01 |
| 1316048770 | David Larson | Psychologist | 244 W Clark St, Albert Lea, MN 56007-2548 | 2006-09-26 |
| 1619909926 | David James Larson | Dentist | 9327 Midlothian Tpke, Suite 1a, Richmond, VA 23235-4964 | 2006-07-07 |
| 1003867508 | David L Larson | Surgery | 8700 Watertown Plank Road, Wisconsin Athletic Club Bldg, Milwaukee, WI 53226 | 2006-05-12 |
| 1356324511 | David C. Larson | Pediatrics | 380 E 1500 S, #201, Heber City, UT 84032-3940 | 2005-11-22 |
| 1992798599 | David P Larson | Internal Medicine | 9327 N 3rd St, Ste 206, Phoenix, AZ 85020-2470 | 2005-08-30 |
| 1144212192 | David M Larson | Colon & Rectal Surgery | 2223 E Baseline Rd, Suite A, Gilbert, AZ 85234-2325 | 2005-08-16 |
| Street Address |
548 SW 13TH ST |
| City | BEND |
| State | OR |
| Zip Code | 97702-3184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578634028 | Alice Marie Cockerill | Social Worker | 548 Sw 13th St, Bend, OR 97702-3184 | 2006-11-13 |
| 1093325110 | Hannah Kappus | Counselor | 548 Sw 13th St, Bend, OR 97702-3184 | 2020-08-04 |
| 1194354746 | Ian Andrew Mclane | Counselor | 548 Sw 13th St, Bend, OR 97702-3184 | 2020-04-06 |
| 1649809435 | Lauren Glass | Counselor | 548 Sw 13th St, Bend, OR 97702-3184 | 2020-04-03 |
| 1891328878 | Erika L Hemingway | Counselor | 548 Sw 13th St, Bend, OR 97702-3184 | 2020-02-18 |
| 1063908051 | Jarret Avery | Counselor | 548 Sw 13th St, Bend, OR 97702-3184 | 2018-07-02 |
| 1891034880 | David Stetson Lcsw Inc. | Community/Behavioral Health | 548 Sw 13th St, Bend, OR 97702-3184 | 2013-02-11 |
| 1396915252 | Gayle L Dosher | Marriage & Family Therapist | 548 Sw 13th St, 204, Bend, OR 97702-3184 | 2008-03-07 |
| 1447429188 | D'arcy Swanson Inc. | Counselor | 548 Sw 13th St, Suite #100, Bend, OR 97702-3184 | 2008-02-27 |
| 1295866556 | Susannah Grace Waller | Counselor | 548 Sw 13th St, Bend, OR 97702-3184 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| 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 |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1851851430 | Cascadia Family Therapy | Counselor | 780 Nw York Dr Ste 204, Bend, OR 97703-1055 | 2019-03-21 |
| 1689138190 | Katelin Elizabeth Hance | Counselor | 210 Nw Irving Ave, Bend, OR 97703-2049 | 2019-01-29 |
| 1619307733 | Nancy Lode | Counselor | 19394 Sw Laurelhurst Way, Bend, OR 97702-3192 | 2013-11-26 |
| 1265737225 | Joan C Dudley | Counselor | 1640 Nw Bond St, Bend, OR 97701 | 2011-01-21 |
| 1477855393 | Charles Forward | Counselor | 20370 Poe Sholes Rd., Telecare, Bend, OR 97701 | 2010-11-29 |
| 1417259599 | Heather Jordan Cromwell | Counselor | 20370 Poe Sholes Dr., Bend, OR 97701 | 2010-11-23 |
| 1487986410 | Barbara S Stott | Counselor | 21218 Darby Ct, Bend, OR 97702-9582 | 2010-02-01 |
| 1912138900 | Dennis Lee Crowell | Counselor | 535 Nw Utica Ave, Bend, OR 97701-1131 | 2009-08-07 |
| 1477780385 | Carol Folsom Sisson | Counselor | 205 Se Davis Ave, Bend, OR 97702-1333 | 2009-06-18 |
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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.