MELISSA GORONI LARSON LICSW
NPI 1184219974
Counselor - Mental Health in Chaska, MN
About Melissa Goroni Larson Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA GORONI LARSON LICSW (NPI 1184219974) is an individual mental health provider in Chaska, Minnesota, licensed in Minnesota (26844) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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)
Melissa Goroni Larson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Melissa Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edina, MN 55439
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Affinity Psychological Services PC
- 136 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHASKA, MN 55318
CHASKA, MN 55318
CHASKA, MN 55318
CHASKA, MN 55318
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 Melissa Larson's NPI number?
The NPI number for Melissa Larson is 1184219974. It was assigned to this individual provider in the NPPES registry on March 4, 2021.
Where is Melissa Larson located?
Melissa Larson practices at 111 Hundertmark Rd Ste 205N, Chaska, MN 55318. The listed phone number is (952) 903-1350.
What is Melissa Larson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Melissa Larson enrolled in Medicare?
Yes. Melissa Larson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Melissa Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Larson reassigns Medicare benefits to Affinity Psychological Services, P.C. (Edina, 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 Melissa Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Larson accept?
Health plans from HealthPartners list Melissa 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 Melissa Larson was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Melissa Goroni Larson, LICSW · NPI 1184219974
Mental Health provider in Chaska, Minnesota. Individual provider, active in the CMS NPPES registry since March 4, 2021.
## Identity
- **NPI:** 1184219974 (Entity type: Individual)
- **Enumerated:** March 4, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 26844 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 HUNDERTMARK RD STE 205N, Chaska, MN 55318-1586
- **Phone:** (952) 903-1350 · **Fax:** (952) 426-3856
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Affinity Psychological Services, P.C. (NPI 1245610856, Edina, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184219974) · Data from the CMS NPPES public registry.