NICOLE LARSON LLC
NPI 1477221075
Clinic/Center - Mental Health (Including Community Mental Health Center) in Northfield, MN
About Nicole Larson Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LARSON LLC (NPI 1477221075) is a healthcare organization registered as a mental health (including community mental health center) in Northfield, Minnesota and active in the NPI registry since August 2021. The organization lists Nicole Larson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Larson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicole Larson LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nicole Larson LLC's NPI number?
The NPI number for Nicole Larson LLC is 1477221075. It was assigned to this organization in the NPPES registry on August 31, 2021.
Where is Nicole Larson LLC located?
Nicole Larson LLC is located at 101 5th St E Ste 207, Northfield, MN 55057. The listed phone number is (507) 301-6741.
What is Nicole Larson LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Nicole Larson LLC enrolled in Medicare?
Yes. Nicole Larson LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nicole Larson LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Nicole Larson LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Nicole Larson LLC accept?
Health plans from HealthPartners list Nicole Larson LLC 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 Nicole Larson LLC was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Nicole Larson Llc · NPI 1477221075
Mental Health (Including Community Mental Health Center) organization in Northfield, Minnesota. Organization record, active in the CMS NPPES registry since August 31, 2021.
## Identity
- **NPI:** 1477221075 (Entity type: Organization)
- **Enumerated:** August 31, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Nicole Larson, OWNER
## Practice location
- **Address:** 101 5TH ST E STE 207, Northfield, MN 55057-2076
- **Phone:** (507) 301-6741
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477221075) · Data from the CMS NPPES public registry.