LARISSA CHANDRIMA KAIULANI PROCTOR LPC
NPI 1164015673
Counselor - Professional in Union, MO
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Larissa Chandrima Kaiulani Proctor Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Larissa Proctor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Warrenton, MO 63383
- Reassigned Medicare billing, Missouri enrollment
- 968 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.
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.
UNION, MO 63084
UNION, MO 63084
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.
Which organization bills Medicare for Larissa Proctor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Proctor reassigns Medicare benefits to Compass Health, Inc. (Warrenton, MO). 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 Larissa Proctor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larissa Proctor accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma 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.
# Larissa Chandrima Kaiulani Proctor, LPC · NPI 1164015673
Professional provider in Union, Missouri. Individual provider, active in the CMS NPPES registry since February 16, 2021.
## Identity
- **NPI:** 1164015673 (Entity type: Individual)
- **Enumerated:** February 16, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2021005305 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1780 OLD HIGHWAY 50 E STE 102, Union, MO 63084-3397
- **Phone:** (888) 403-1071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Compass Health, Inc. (NPI 1144415175, Warrenton, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164015673) · Data from the CMS NPPES public registry.