MS. MERRILEE DAHM LARSEN LCPC NPI 1487893079

NPI Information

  • NPI: 1487893079
  • Provider Name: MS. MERRILEE DAHM LARSEN, LCPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 53 BAXTER BLVD STE 3
    PORTLAND, ME
    ZIP 04101
  • Phone: (603) 883-0005

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NPI Details

MS. Merrilee Dahm Larsen, LCPC is a professional counselor in Portland, ME. MS. Merrilee Dahm Larsen, LCPC NPI is 1487893079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

53 BAXTER BLVD STE 3
PORTLAND, ME
ZIP 04101-827
Phone: (603) 883-0005

The NPI 1487893079 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 2/5/2009 and was last updated on 4/29/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)CCS4150MAINENo
2101YM0800XCounselorMental HealthCC984MAINENo
3101YP2500XCounselorProfessionalCC984MAINEYes

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: 11/21/2025

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