KELLY LARSEN
NPI 1073851093
Counselor in Lucerne, CA

Active since January 25, 2013
6302 THIRTEENTH AVENUE, LUCERNE, CA 95458(707) 274-9101(707) 274-9192 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Larsen NPPES

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

KELLY LARSEN (NPI 1073851093) is an individual counselor in Lucerne, California and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1073851093
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY LARSEN
Location Address6302 THIRTEENTH AVENUELucerne, CA 95458
Mailing AddressPo Box 1024Lucerne, CA 95458-1024 · (707) 274-9101 · Fax (707) 274-9192
Fax(707) 274-9192
Sole ProprietorYes
Enumeration DateJanuary 25, 2013
NPI 1073851093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6302 THIRTEENTH AVENUE, Lucerne, CA 95458

Other Providers at the Same Location NPPES 9

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

Counselor (Addiction (Substance Use Disorder))
6302 THIRTEENTH AVENUE
LUCERNE, CA 95458
Counselor (Mental Health)
6302 THIRTEENTH AVENUE
LUCERNE, CA 95458
Peer Specialist
6302 THIRTEENTH AVENUE
LUCERNE, CA 95458
Counselor (Addiction (Substance Use Disorder))
6302 THIRTEENTH AVENUE
LUCERNE, CA 95458
Psychologist
6302 THIRTEENTH AVENUE, LAKE COUNTY BEHAVIORAL HEALTH
LUCERNE, CA 95458
Counselor (Mental Health)
6302 THIRTEENTH AVENUE
LUCERNE, CA 95458
Counselor (Mental Health)
6302 THIRTEENTH AVENUE
LUCERNE, CA 95458
Counselor (Addiction (Substance Use Disorder))
6302 THIRTEENTH AVENUE
LUCERNE, CA 95458

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 Kelly Larsen's NPI number?

The NPI number for Kelly Larsen is 1073851093. It was assigned to this individual provider in the NPPES registry on January 25, 2013.

Where is Kelly Larsen located?

Kelly Larsen practices at 6302 Thirteenth Avenue, Lucerne, CA 95458. The listed phone number is (707) 274-9101.

What is Kelly Larsen's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Larsen was last updated on January 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.