MRS. COLEEN D. LARRICK LICDC, LPN
NPI 1376675595
Counselor - Addiction (Substance Use Disorder) in Maumee, OH

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since March 12, 2007PECOS Enrolled

1655 HOLLAND RD STE F, MAUMEE, OH 43537(866) 934-7450 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2024, Nov 17, 2020 (2 updates tracked since 2020).

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About Mrs. Coleen D. Larrick Licdc, Lpn NPPES

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

MRS. COLEEN D. LARRICK LICDC, LPN (NPI 1376675595) is an individual addiction (substance use disorder) provider in Maumee, Ohio, licensed in Ohio (LICDC.162003) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376675595

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. COLEEN D. LARRICKCredential: LICDC, LPN

Location Address1655 HOLLAND RD STE FMaumee, OH 43537-1656

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600

Phone(866) 934-7450

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 12, 2007

Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1376675595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in OH · LICDC.162003

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License LPN.113413.MEDS-IV (OH)

1655 HOLLAND RD STE F, Maumee, OH 43537

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Other Identifiers 1

Medicaid2415738OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Coleen D. Larrick Licdc, Lpn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476051194

PECOS Enrollment IDI20250812002636

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.

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.

OHIO VIRTUAL ACADEMY

Local Education Agency (LEA)