MISS JESSICA LARSON BS, BS, MAFP, CSAC
NPI 1104232800
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI

Q: What is Jessica Larson's NPI number?

The NPI number for Jessica Larson is 1104232800. It was assigned to this individual provider in the NPPES registry on July 2, 2014. The provider is also known as Jessica Lenz Bs, Bs, Mafp.

Q: What is Jessica Larson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Larson was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since July 02, 2014

230 W WELLS ST STE 312, MILWAUKEE, WI 53203(414) 344-3406(414) 344-0107 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Jessica Larson Bs, Bs, Mafp, Csac NPPES

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

MISS JESSICA LARSON BS, BS, MAFP, CSAC (NPI 1104232800) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (16009-132) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1104232800

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMISS JESSICA LARSONCredential: BS, BS, MAFP, CSAC

Location Address230 W WELLS ST STE 312Milwaukee, WI 53203-1837

Mailing Address230 W Wells St Ste 312Milwaukee, WI 53203-1837 · (414) 344-3406 · Fax (414) 344-0107

Phone(414) 344-3406

Fax(414) 344-0107

Sole ProprietorNo

Enumeration DateJuly 2, 2014

Last NPPES UpdateApril 28, 2016

✔ NPI 1104232800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 16009-132

230 W WELLS ST STE 312, Milwaukee, WI 53203

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Other Names 1

Former Name (1)Jessica Lenz Bs, Bs, Mafp

Other Identifiers 1

Medicaid100055295WI

Other Providers at the Same Location NPPES

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

YEZLIN DENAE KELLY SAC-IT

Counselor (Addiction (Substance Use Disorder))

230 W WELLS ST STE 312
MILWAUKEE, WI 53203

Milwaukee County (414) 344-3406

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 Jessica Larson's NPI number?

The NPI number for Jessica Larson is 1104232800. It was assigned to this individual provider in the NPPES registry on July 2, 2014. The provider is also known as Jessica Lenz Bs, Bs, Mafp.

Where is Jessica Larson located?

Jessica Larson practices at 230 W Wells St Ste 312, Milwaukee, WI 53203. The listed phone number is (414) 344-3406.

What is Jessica Larson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jessica Larson was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.