BRENDA LARSEN MSW
NPI 1164319034
Counselor - Mental Health in Danville, IL

Active since June 23, 2025PECOS Enrolled
309 N LOGAN AVE, DANVILLE, IL 61832(217) 442-3200 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brenda Larsen Msw NPPES

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

BRENDA LARSEN MSW (NPI 1164319034) is an individual mental health provider in Danville, Illinois and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164319034
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRENDA LARSENCredential: MSW
Location Address309 N LOGAN AVEDanville, IL 61832-5613
Mailing AddressPo Box 404Oakwood, IL 61858-0404 · (217) 474-8782
Sole ProprietorYes
Enumeration DateJune 23, 2025
NPPES CertifiedJune 23, 2025
✔ NPI 1164319034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
309 N LOGAN AVE, Danville, IL 61832

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenda Larsen Msw 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 Brenda Larsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
210 AVENUE C
Danville, IL 61832
  • Reassigned Medicare billing, Illinois enrollment
  • 14 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 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
309 N LOGAN AVE
DANVILLE, IL 61832
Social Worker
309 N LOGAN AVE
DANVILLE, IL 61832
Social Worker
309 N LOGAN AVE
DANVILLE, IL 61832

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 Brenda Larsen's NPI number?

The NPI number for Brenda Larsen is 1164319034. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Where is Brenda Larsen located?

Brenda Larsen practices at 309 N Logan Ave, Danville, IL 61832. The listed phone number is (217) 442-3200.

What is Brenda Larsen's specialty?

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

Is Brenda Larsen enrolled in Medicare?

Yes. Brenda Larsen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brenda Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Larsen reassigns Medicare benefits to Crosspoint Human Services (Danville, IL). 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 Brenda Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brenda Larsen was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.