Miss Naomi Nicole Doriott Larson, MA, LPC in Maple Grove, MN

Miss Naomi Nicole Doriott Larson, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Maple Grove, Minnesota. Her current practice location is 12918 63rd Ave N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 210-9966.

Miss Naomi Nicole Doriott Larson is licensed to practice in Wisconsin (license number 4609-125) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609005636.

Contact Information

	Miss Naomi Nicole Doriott Larson, MA, LPC
	12918 63rd Ave N, Maple Grove, MN 55369-6001
	(763) 210-9966
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Naomi Nicole Doriott Larson
Gender	Female
Speciality	Counselor - Professional
Location	12918 63rd Ave N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609005636
Provider Enumeration Date: 07/12/2009
Last Update Date: 05/18/2023

Medicare PECOS Information:

PECOS PAC ID: 2466748108
Enrollment ID: I20240530002166

Medical Identifiers

Medical identifiers for Miss Naomi Nicole Doriott Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609005636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	619-226 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	4609-125 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Naomi Nicole Doriott Larson allows following entities to bill medicare on her behalf.

Entity Name	Collaborative Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598034324 PECOS PAC ID: 3678711900 Enrollment ID: O20160909002528

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Naomi Nicole Doriott Larson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Naomi Nicole Doriott Larson, MA, LPC 12918 63rd Ave N, Maple Grove, MN 55369-6001 Ph: (763) 210-9966	Miss Naomi Nicole Doriott Larson, MA, LPC 12918 63rd Ave N, Maple Grove, MN 55369-6001 Ph: (763) 210-9966

Reviews and Comments

Counselor in Maple Grove, MN

Sarah Nicole Olson Venning, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 651-600-0342
Daniel Knudson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121
Blake Malloy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121
Alysha Kvam, Counselor Medicare: Medicare Enrolled Practice Location: 12918 63rd Ave N, Maple Grove, MN 55369 Phone: 763-210-9966
Barbara Wormington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10650 County Road 81 Ste N, Maple Grove, MN 55369 Phone: 417-529-3250
Martha Sepulveda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-284-3706 Fax: 763-274-3121
Kimberly Fothergill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121

Miss Naomi Nicole Doriott Larson, MA, LPC - Medicare Counselor in Maple Grove, MN