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LARISSA CHANDRIMA KAIULANI PROCTOR LPC
NPI 1164015673
Counselor - Professional in Union, MO

Active since February 16, 2021PECOS Enrolled
1780 OLD HIGHWAY 50 E STE 102, UNION, MO 63084(888) 403-1071 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2023, Feb 16, 2021 (2 updates tracked since 2021).

About Larissa Chandrima Kaiulani Proctor Lpc NPPES

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

LARISSA CHANDRIMA KAIULANI PROCTOR LPC (NPI 1164015673) is an individual professional provider in Union, Missouri, licensed in Missouri (2021005305) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164015673
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLARISSA CHANDRIMA KAIULANI PROCTORCredential: LPC
Location Address1780 OLD HIGHWAY 50 E STE 102Union, MO 63084-3397
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Phone(888) 403-1071
Sole ProprietorNo
Enumeration DateFebruary 16, 2021
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1164015673 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 MO · 2021005305
1780 OLD HIGHWAY 50 E STE 102, Union, MO 63084
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larissa Chandrima Kaiulani Proctor Lpc 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.

Other Providers at the Same Location NPPES 15

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

TAYLOR SHEA ECHELE LCSW
Social Worker (Clinical)
1780 OLD HIGHWAY 50 E STE 102
UNION, MO 63084
Franklin County (888) 403-1071
LINDSEY MARIE RAHE
Counselor (Professional)
1780 OLD HIGHWAY 50 E STE 102
UNION, MO 63084
Franklin County (844) 853-8937
ANTHONY P. PHILLIPS LCSW
Social Worker (Clinical)
1780 OLD HIGHWAY 50 E STE 102
UNION, MO 63084
Franklin County (888) 403-1071
TONI LOUISE TURIGLIATTO LPC
Counselor (Professional)
1780 OLD HIGHWAY 50 E STE 102
UNION, MO 63084
Franklin County (844) 853-8937
HOLLY PORTER LPC
Counselor (Professional)
1780 OLD HIGHWAY 50 E STE 102
UNION, MO 63084
Franklin County (844) 853-8937
CHRISTINA HOUSEWRIGHT APRN
Nurse Practitioner (Psychiatric/Mental Health)
1780 OLD HIGHWAY 50 E STE 102
UNION, MO 63084
Franklin County (888) 403-1071
DR. HARIKA RAO MENDU DMD
Dentist
1780 OLD HIGHWAY 50 E STE 102
UNION, MO 63084
Franklin County (844) 853-8937
HUSSAIN ALHASHEM PLP
Psychologist (Cognitive & Behavioral)
1780 OLD HIGHWAY 50 E STE 102
UNION, MO 63084
Franklin County (888) 403-1071

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 Larissa Proctor's NPI number?

The NPI number for Larissa Proctor is 1164015673. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Larissa Proctor located?

Larissa Proctor practices at 1780 Old Highway 50 E Ste 102, Union, MO 63084. The listed phone number is (888) 403-1071.

What is Larissa Proctor's specialty?

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

Is Larissa Proctor enrolled in Medicare?

Yes. Larissa Proctor is registered in the Medicare PECOS enrollment system.

What insurance does Larissa Proctor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Larissa Proctor 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 Larissa Proctor was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.