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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDER LARSON
NPI 1376015719
Counselor - Professional in Minneapolis, MN

Active since December 26, 2018PECOS EnrolledAccepts Medicare Assignment
2701 UNIVERSITY AVE SE STE 204, MINNEAPOLIS, MN 55414(763) 205-4843(612) 416-2085 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2026, Jan 12, 2022, Mar 11, 2021 and 1 more (4 updates tracked since 2018).

About Alexander Larson NPPES

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

ALEXANDER LARSON (NPI 1376015719) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (CC02773) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Paul, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376015719
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameALEXANDER LARSON
Location Address2701 UNIVERSITY AVE SE STE 204Minneapolis, MN 55414-3236
Mailing Address2701 University Ave Se Ste 204Minneapolis, MN 55414-3236 · (763) 205-4843 · Fax (612) 416-2085
Phone(763) 205-4843
Fax(612) 416-2085
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 26, 2018
Last NPPES UpdateSeptember 9, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1376015719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · CC02773
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304937 (MN)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CC02773 (MN)
2701 UNIVERSITY AVE SE STE 204, Minneapolis, MN 55414
Open in Google Maps ↗

Secondary Practice Location 1

Location 1451 Lexington Pkwy NSaint Paul, MN 55104-4636 · Phone (651) 280-2310

Other Identifiers 2

Other304937MN · Ladc
OtherCC02773MN · Lpcc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander Larson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395195531
PECOS Enrollment IDI20231229001382
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

2

Medicare enrollment records show Alexander Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amherst H. Wilder Foundation
3.6 mi
Mental Health (Including Community Mental Health Center)
451 LEXINGTON PKWY N
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 86 clinicians in this Medicare group
NPI 1548337355 (651) 280-2000
Nystrom & Associates, Ltd
7.5 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

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 4

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

KYLIE OSTERHUS GAMM LPCC
Counselor (Mental Health)
2701 UNIVERSITY AVE SE STE 204
MINNEAPOLIS, MN 55414
Hennepin County (763) 205-4843
LAUREN ROELIKE
Counselor (Professional)
2701 UNIVERSITY AVE SE STE 204
MINNEAPOLIS, MN 55414
Hennepin County (763) 205-4843
EXPANSE - A MINNESOTA MENTAL HEALTH KETAMINE & PSYCHEDELIC PSYCHOTHER
Clinic/Center (Mental Health (Including Community Mental Health Center))
2701 UNIVERSITY AVE SE STE 204
MINNEAPOLIS, MN 55414
Hennepin County (763) 205-4843
LAURA S JONES LADC
Counselor (Mental Health)
2701 UNIVERSITY AVE SE STE 204
MINNEAPOLIS, MN 55414
Hennepin County (612) 322-4300

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 Alexander Larson's NPI number?

The NPI number for Alexander Larson is 1376015719. It was assigned to this individual provider in the NPPES registry on December 26, 2018.

Where is Alexander Larson located?

Alexander Larson practices at 2701 University Ave SE Ste 204, Minneapolis, MN 55414. The listed phone number is (763) 205-4843.

What is Alexander Larson's specialty?

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

Is Alexander Larson enrolled in Medicare?

Yes. Alexander Larson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alexander Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Larson reassigns Medicare benefits to 2 organizations: Amherst H. Wilder Foundation (Saint Paul, MN) and Nystrom & Associates, Ltd (New Brighton, MN). 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 Alexander Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander Larson accept?

Health plans from HealthPartners list Alexander 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 Alexander Larson was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.