Mrs Stephanie Larsen, is a
Counselor - Mental Health based in Mount Pleasamt, Wisconsin. Mrs Stephanie Larsen is licensed to practice in Illinois (license number 180.009102) and her current practice location is
6233 Bankers Rd Suite 6, Mount Pleasamt, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(312) 608-0097.
NPI number for Mrs Stephanie Larsen is 1154715597 and her current mailing address is 6233 Bankers Rd Suite 6, Mount Pleasamt, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154715597.
Healthcare Provider's Profile
Full Name | Mrs Stephanie Larsen |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6233 Bankers Rd Suite 6, Mount Pleasamt, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154715597
- Provider Enumeration Date: 03/24/2015
- Last Update Date: 05/30/2023
Medical Identifiers
Medical identifiers for Mrs Stephanie Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154715597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 180.009102 (Illinois) | Primary |
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. Mrs Stephanie Larsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Stephanie Larsen, 6233 Bankers Rd Suite 6, Mount Pleasamt, WI 53403 Ph: (312) 608-0097 | Mrs Stephanie Larsen, 6233 Bankers Rd Suite 6, Mount Pleasamt, WI 53403 Ph: (312) 608-0097 |
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