KIMBERLY LARSEN LAC CADAC V
NPI 1588257976
Counselor - Addiction (Substance Use Disorder) in Chesterton, IN

Q: What is Kimberly Larsen's NPI number?

The NPI number for Kimberly Larsen is 1588257976. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Q: What is Kimberly Larsen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Larsen was last updated on February 16, 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.

Active since February 16, 2021

612 W MORGAN AVE, CHESTERTON, IN 46304(219) 307-0086 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Larsen Lac Cadac V NPPES

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

KIMBERLY LARSEN LAC CADAC V (NPI 1588257976) is an individual addiction (substance use disorder) provider in Chesterton, Indiana, licensed in Indiana (86000384A) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1588257976

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKIMBERLY LARSENCredential: LAC CADAC V

Location Address612 W MORGAN AVEChesterton, IN 46304-2244

Mailing Address612 W Morgan AveChesterton, IN 46304-2244 · (219) 307-0086

Phone(219) 307-0086

Sole ProprietorYes

Enumeration DateFebruary 16, 2021

NPPES CertifiedFebruary 16, 2021

✔ NPI 1588257976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code101YA0400X

License✔ Licensed in IN · 86000384A

612 W MORGAN AVE, Chesterton, IN 46304

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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 Kimberly Larsen's NPI number?

The NPI number for Kimberly Larsen is 1588257976. It was assigned to this individual provider in the NPPES registry on February 16, 2021.

Where is Kimberly Larsen located?

Kimberly Larsen practices at 612 W Morgan Ave, Chesterton, IN 46304. The listed phone number is (219) 307-0086.

What is Kimberly Larsen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kimberly Larsen was last updated on February 16, 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.