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MRS. JENNIFER KATHRYN LARSON MA
NPI 1144702622
Marriage & Family Therapist in Blaine, MN

Active since August 31, 2018PECOS Enrolled
4255 PHEASANT RIDGE DR NE STE 412, BLAINE, MN 55449(763) 703-3754(372) 703-3725 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jennifer Kathryn Larson Ma NPPES

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

MRS. JENNIFER KATHRYN LARSON MA (NPI 1144702622) is an individual marriage & family therapist in Blaine, Minnesota and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144702622
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. JENNIFER KATHRYN LARSONCredential: MA
Location Address4255 PHEASANT RIDGE DR NE STE 412Blaine, MN 55449-5066
Mailing Address4255 Pheasant Ridge Dr Ne Ste 412Blaine, MN 55449-5066 · (763) 703-3754 · Fax (372) 703-3725
Phone(763) 703-3754
Fax(372) 703-3725
Sole ProprietorYes
Enumeration DateAugust 31, 2018
✔ NPI 1144702622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4255 PHEASANT RIDGE DR NE STE 412, Blaine, MN 55449
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Kathryn Larson Ma 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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hope Rising
6.9 mi
Marriage & Family Therapist
2475 15TH ST NW STE D
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1295292753 (612) 406-4083

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

OLIVIA MARIE WALLS MA, LMFT
Marriage & Family Therapist
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 703-3754
BREANNA MICHELLE HOFFMAN LMFT
Marriage & Family Therapist
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 703-3755
AMY JOY SENAPATIRATNE
Marriage & Family Therapist
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 742-2526
BREANNA HOFFMAN THERAPEUTIC SERVICES
Marriage & Family Therapist
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 703-3755
ANCHOR AND BLOOM THERAPY PLLC
Counselor (Mental Health)
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (612) 384-3472
VLW LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (612) 799-6652
BRITTANY DIANE HENDERSON LPCC
Counselor (Mental Health)
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (763) 703-3754
ABBEY GITZEL THERAPY L.L.C.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4255 PHEASANT RIDGE DR NE STE 412
BLAINE, MN 55449
Anoka County (612) 355-7919

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 Jennifer Larson's NPI number?

The NPI number for Jennifer Larson is 1144702622. It was assigned to this individual provider in the NPPES registry on August 31, 2018.

Where is Jennifer Larson located?

Jennifer Larson practices at 4255 Pheasant Ridge Dr NE Ste 412, Blaine, MN 55449. The listed phone number is (763) 703-3754.

What is Jennifer Larson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Larson enrolled in Medicare?

Yes. Jennifer Larson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Larson reassigns Medicare benefits to Hope Rising (New Brighton, MN). The 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 Jennifer Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Larson accept?

Health plans from HealthPartners list Jennifer 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 Jennifer Larson was last updated on August 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.