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

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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: July 19, 2026.

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

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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.