MISS NAOMI NICOLE DORIOTT LARSON M.A. LPC NPI 1609005636

NPI Information

  • NPI: 1609005636
  • Provider Name: MISS NAOMI NICOLE DORIOTT LARSON, M.A., LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12918 63RD AVE N
    MAPLE GROVE, MN
    ZIP 55369
  • Phone: (763) 210-9966

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NPI Details

MISS Naomi Nicole Doriott Larson, M.A., LPC is a professional counselor in Maple Grove, MN. MISS Naomi Nicole Doriott Larson, M.A., LPC NPI is 1609005636. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12918 63RD AVE N
MAPLE GROVE, MN
ZIP 55369-001
Phone: (763) 210-9966

The NPI 1609005636 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 7/12/2009 and was last updated on 5/18/2023.

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
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessional619-226WISCONSINNo
3101YP2500XCounselorProfessional4609-125WISCONSINYes

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: 3/30/2025

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