DR. LARRY JEROME WATNEMO LPCC
NPI 1063568301
Counselor - Professional in Fargo, ND

Q: What is Larry Watnemo's NPI number?

The NPI number for Larry Watnemo is 1063568301. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Q: What is Larry Watnemo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Larry Watnemo was last updated on May 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 27, 2007PECOS Enrolled

1112 NODAK DR S, FARGO, ND 58103(701) 232-6224(701) 232-4687 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Larry Jerome Watnemo Lpcc NPPES

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

DR. LARRY JEROME WATNEMO LPCC (NPI 1063568301) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (ND 392-12-1-97-83) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063568301

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDR. LARRY JEROME WATNEMOCredential: LPCC

Location Address1112 NODAK DR SFargo, ND 58103-2366

Mailing Address1112 Nodak Dr SFargo, ND 58103-2366 · (701) 232-6224 · Fax (701) 232-4687

Phone(701) 232-6224

Fax(701) 232-4687

Sole ProprietorNo

Enumeration DateJanuary 27, 2007

Last NPPES UpdateMay 20, 2020

NPPES CertifiedMay 20, 2020

✔ NPI 1063568301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ND · ND 392-12-1-97-83

1112 NODAK DR S, Fargo, ND 58103

Open in Google Maps ↗

Other Identifiers 1

Medicaid1468231ND

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larry Jerome Watnemo Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Leave this field empty