Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYRA LARSON
NPI 1083083299
Counselor - Mental Health in Deer Park, WA

Active since September 17, 2015PECOS EnrolledAccepts Medicare Assignment
204 E F ST UNIT B, DEER PARK, WA 99006(509) 475-8137 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Mar 19, 2026, Sep 11, 2025 and 3 more (6 updates tracked since 2019).

About Kyra Larson NPPES

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

KYRA LARSON (NPI 1083083299) is an individual mental health provider in Deer Park, Washington, licensed in Washington (LH61098129) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083083299
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKYRA LARSON
Location Address204 E F ST UNIT BDeer Park, WA 99006-5470
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 17, 2015
Last NPPES UpdateOctober 12, 20266 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1083083299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH61098129
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C8309 (OR), 252209 (AK), 8471047 (ID)
204 E F ST UNIT B, Deer Park, WA 99006

Secondary Practice Locations 3

Location 1105 S Garden AveNewport, WA 99156-9001 · Phone (509) 447-5651
Location 2800 S Weber RdDeer Park, WA 99006-5289 · Phone (509) 844-4575
Location 3107 S Division StSpokane, WA 99202-1510 · Phone (509) 838-4651

Other Identifiers 3

OtherMBTCOU-10245ID · Lpc
OtherC8309OR · Lpc
OtherLH61098129WA · Lmhc

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

Kyra 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.

PECOS PAC ID4587014584
PECOS Enrollment IDI20240102003970
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kyra Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
4800 S MACADAM AVE STE 230
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 70 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Washington enrollment
  • 128 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.

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 Kyra Larson's NPI number?

The NPI number for Kyra Larson is 1083083299. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Kyra Larson located?

Kyra Larson practices at 204 E F St Unit B, Deer Park, WA 99006. The listed phone number is (509) 475-8137.

What is Kyra Larson's specialty?

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

Is Kyra Larson enrolled in Medicare?

Yes. Kyra 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 organizations bill Medicare for Kyra Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyra Larson reassigns Medicare benefits to 2 organizations: Sokyahealth Medical Group PC (Portland, OR) and Mental Health Specialty Group PA (Durham, NC). Each 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 Kyra Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyra Larson accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Regence BlueCross BlueShield of Oregon and Select Health list Kyra 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 Kyra Larson was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.