MRS. LARISA A. KOUPERSCHMIDT MD
NPI 1336442888
Psychiatry & Neurology - Psychiatry in Everett, MA

Active since December 06, 2010PECOS Enrolled
103 GARLAND ST, EVERETT, MA 02149(617) 905-2697 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Larisa A. Kouperschmidt Md NPPES

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

MRS. LARISA A. KOUPERSCHMIDT MD (NPI 1336442888) is an individual psychiatry provider in Everett, Massachusetts, licensed in Massachusetts (246627) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336442888
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMRS. LARISA A. KOUPERSCHMIDTCredential: MD
Location Address103 GARLAND STEverett, MA 02149-5066
Mailing Address258 Main St Unit AMedfield, MA 02052-2042 · (617) 905-2697
Sole ProprietorNo
Enumeration DateDecember 6, 2010
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
✔ NPI 1336442888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 246627
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
103 GARLAND ST, Everett, MA 02149

Secondary Practice Locations 2

Location 1751 S Bascom AveSan Jose, CA 95128-2604 · Phone (617) 905-2697
Location 21212 N California StStockton, CA 95202-1552 · Phone (209) 468-8750

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Larisa A. Kouperschmidt Md 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 Reassignments

4

Medicare enrollment records show Larisa Kouperschmidt reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1493 CAMBRIDGE ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 362 clinicians in this Medicare group
Psychiatric Hospital
45 CLAPBOARDTREE ST
Westwood, MA 02090
  • Reassigned Medicare billing, Massachusetts enrollment
  • 76 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1209 W TOKAY STREET, SUITE 1, 3, 5, 7, 12, 14, AND 16
Lodi, CA 95240
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Joaquin
  • 195 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California), NPI 1043354020 (California)
  • 2,460 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02149 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Cardiovascular Disease)
103 GARLAND ST
EVERETT, MA 02149
Social Worker (Clinical)
103 GARLAND ST
EVERETT, MA 02149
General Acute Care Hospital
103 GARLAND ST
EVERETT, MA 02149
Registered Nurse
103 GARLAND ST, EAST 3
EVERETT, MA 02149
Registered Nurse
103 GARLAND ST
EVERETT, MA 02149
Physical Therapist
103 GARLAND ST
EVERETT, MA 02149
Internal Medicine
103 GARLAND ST
EVERETT, MA 02149
Pharmacist
103 GARLAND ST
EVERETT, MA 02149

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 Larisa Kouperschmidt's NPI number?

The NPI number for Larisa Kouperschmidt is 1336442888. It was assigned to this individual provider in the NPPES registry on December 6, 2010.

Where is Larisa Kouperschmidt located?

Larisa Kouperschmidt practices at 103 Garland St, Everett, MA 02149. The listed phone number is (617) 905-2697.

What is Larisa Kouperschmidt's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Larisa Kouperschmidt enrolled in Medicare?

Yes. Larisa Kouperschmidt is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Larisa Kouperschmidt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larisa Kouperschmidt reassigns Medicare benefits to 4 organizations: Cambridge Public Health Commission (Cambridge, MA), Uhs Of Westwood Pembroke Inc (Westwood, MA), San Joaquin County Behavioral Health Services (Lodi, CA) and County Of Santa Clara (Gilroy, CA). Each 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 Larisa Kouperschmidt'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 Larisa Kouperschmidt was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.