STEPHANIE LARSON
NPI 1013482264
Counselor - Professional in Two Rivers, WI
About Stephanie Larson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE LARSON (NPI 1013482264) is an individual professional provider in Two Rivers, Wisconsin, licensed in Wisconsin (11440-125) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Green Bay, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephanie Larson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Two Rivers, WI 54241
- Reassigned Medicare billing, Wisconsin enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Professional, with taxonomy code 101YP2500X.
Is Stephanie Larson enrolled in Medicare?
Yes. Stephanie Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stephanie Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Larson reassigns Medicare benefits to Phoenix Behavioral Health Services, LLC (Two Rivers, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Larson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 3 other insurers list Stephanie Larson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stephanie Larson was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Stephanie Larson · NPI 1013482264
Professional provider in Two Rivers, Wisconsin. Individual provider, active in the CMS NPPES registry since October 3, 2018.
## Identity
- **NPI:** 1013482264 (Entity type: Individual)
- **Enumerated:** October 3, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 11440-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3120 MEMORIAL DR, Two Rivers, WI 54241-3229
- **Phone:** (920) 657-1780
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Phoenix Behavioral Health Services, LLC (NPI 1871514778, Two Rivers, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013482264) · Data from the CMS NPPES public registry.