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MR. ETHAN TAVIS LARSEN MSW
NPI 1548915382
Counselor - Mental Health in Northfield, IL

Active since February 21, 2022
405 CENTRAL AVE, NORTHFIELD, IL 60093(847) 441-5600 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Ethan Tavis Larsen Msw NPPES

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

MR. ETHAN TAVIS LARSEN MSW (NPI 1548915382) is an individual mental health provider in Northfield, Illinois and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1548915382
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. ETHAN TAVIS LARSENCredential: MSW
Location Address405 CENTRAL AVENorthfield, IL 60093-3006
Mailing Address858 N Wolcott Ave Apt 2Chicago, IL 60622-6791 · (626) 466-5812
Phone(847) 441-5600
Sole ProprietorNo
Enumeration DateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
✔ NPI 1548915382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
405 CENTRAL AVE, Northfield, IL 60093
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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.

ANDREA J BURRUSS
Counselor (Professional)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
JACQUELINE SWIETOCHOWSKI
Counselor (Mental Health)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
JENNIFER STRANSKI L.C.P.C.
Counselor (Professional)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
ANA KAREN REYES
Counselor (Mental Health)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
ELISSAH FAY ADKINS
Counselor (Mental Health)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (224) 505-5364
SAMANTHA SANECKI
Counselor (Mental Health)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
BRANDON SCOTT
Social Worker
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
MEGHAN TAYLOR ROSENZWEIG LCPC
Counselor (Professional)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600

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 Ethan Larsen's NPI number?

The NPI number for Ethan Larsen is 1548915382. It was assigned to this individual provider in the NPPES registry on February 21, 2022.

Where is Ethan Larsen located?

Ethan Larsen practices at 405 Central Ave, Northfield, IL 60093. The listed phone number is (847) 441-5600.

What is Ethan Larsen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ethan Larsen was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.