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DR. CAROLE (NICKEY) GALUSH LARSON PSYD LP LMFT LADC NPI 1538202890


NPI Information

NPI: 1538202890
Provider Name: DR. CAROLE (NICKEY) GALUSH LARSON, PSYD LP LMFT LADC
Classification: Psychologist - 103T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7400 METRO BLVD
SUITE 215
EDINA, MN
ZIP 55439
Phone: (952) 929-8432
Get Directions

DR. Carole (nickey) Galush Larson, PSYD LP LMFT LADC is a psychologist in Edina, MN with 19 years of experience. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Carole (nickey) Galush Larson, PSYD LP LMFT LADC NPI is 1538202890. 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:

7400 METRO BLVD
SUITE 215
EDINA, MN
ZIP 55439-316
Phone: (952) 929-8432
Fax: (952) 929-8432

The NPI 1538202890 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)

The enumeration date for this NPI number is 2/15/2007 and was last updated on 11/2/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)300756MINNESOTANo
2106H00000XMarriage & Family Therapist466MINNESOTANo
3103T00000XPsychologist1810MINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1680002129MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
246714LAOTHERBCBS GROUP
346715LAOTHERBCBS INDIVIDUAL
4122275OTHERHEALTH PARTNERS FINANCIAL
5563350800MEDICAIDMINNESOTA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.