KELLY LYN LARSEN NPI 1902480676

NPI Information

  • NPI: 1902480676
  • Provider Name: KELLY LYN LARSEN
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2200 S WASHINGTON AVE
    LIVINGSTON, TX
    ZIP 77351
  • Phone: (936) 933-2770

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NPI Details

Kelly Lyn Larsen is a professional counselor in Livingston, TX. Kelly Lyn Larsen NPI is 1902480676. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 S WASHINGTON AVE
LIVINGSTON, TX
ZIP 77351-058
Phone: (936) 933-2770

The NPI 1902480676 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 5/10/2021 and was last updated on 11/25/2024.

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
1101YM0800XCounselorMental Health77195TEXASNo
2101YP2500XCounselorProfessional77195TEXASYes

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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