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STEPHANIE LARSON
NPI 1013482264
Counselor - Mental Health in Two Rivers, WI

Active since October 03, 2018PECOS Enrolled
3120 MEMORIAL DR, TWO RIVERS, WI 54241(920) 657-1780 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2026, Oct 3, 2018 (2 updates tracked since 2018).

About Stephanie Larson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE LARSON (NPI 1013482264) is an individual mental health provider in Two Rivers, Wisconsin and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013482264
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE LARSON
Location Address3120 MEMORIAL DRTwo Rivers, WI 54241-3229
Mailing Address1499 Sixth StreetGreen Bay, WI 54304 · (920) 497-6161 · Fax (920) 498-0476
Phone(920) 657-1780
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 3, 2018
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1013482264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3120 MEMORIAL DR, Two Rivers, WI 54241
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Larson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830669936
PECOS Enrollment IDI20260529002904
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TODD C EIDEN PHD
Psychologist
3120 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 657-1780
TONI L LAMPE LPC
Counselor (Professional)
3120 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 657-1780
JASON JEFFREY HOYT
Counselor
3120 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 657-1780
MR. AARON WEICHART LPC-IT
Counselor (Professional)
3120 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 657-1780
ASHLEY DERENNE HANSEN LPC
Counselor (Professional)
3120 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 657-1780
ADA POPOVIC BCBA, LBA
Behavior Analyst
3120 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 657-1780
JAMIE RUH
Behavior Analyst
3120 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 657-1780
BROOKE KRISTEN SMITH
Counselor (Professional)
3120 MEMORIAL DR
TWO RIVERS, WI 54241
Manitowoc County (920) 657-1780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Larson's NPI number?

The NPI number for Stephanie Larson is 1013482264. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Stephanie Larson located?

Stephanie Larson practices at 3120 Memorial Dr, Two Rivers, WI 54241. The listed phone number is (920) 657-1780.

What is Stephanie Larson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephanie Larson enrolled in Medicare?

Yes. Stephanie Larson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Larson was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.