Grace Evelyn Larsen, MS, LPCC, LADC
Counselor, Mental Health in Rochester, MN. Individual provider (NPI-1).
NPI number1841031002
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1841031002
- Entity type
- Individual (NPI-1)
- Name
- Grace Evelyn Larsen
- Credential
- MS, LPCC, LADC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2024
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 4442 | MN | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
Po Box 860912Provider Enrollment - Rst
Minneapolis, MN 55486-0912
Phone 507-284-2511
Other practice locations
1530 Assisi Dr Nw
Rochester, MN 55901-1637
Rochester, MN 55901-1637
Phone 507-299-5753
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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