ALEXANDER LARSON NPI 1376015719

NPI Information

NPI: 1376015719
Provider Name: ALEXANDER LARSON
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
451 LEXINGTON PKWY N
SAINT PAUL, MN
ZIP 55104
Phone: (651) 280-2310
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Alexander Larson is a professional counselor in Saint Paul, MN. Alexander Larson NPI is 1376015719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

451 LEXINGTON PKWY N
SAINT PAUL, MN
ZIP 55104-636
Phone: (651) 280-2310

The NPI 1376015719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/26/2018 and was last updated on 1/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	CC02773	MINNESOTA	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	304937	MINNESOTA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	304937	OTHER	MINNESOTA	LADC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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