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MISS NAOMI NICOLE DORIOTT LARSON M.A., LPC
NPI 1609005636
Counselor - Professional in Maple Grove, MN

Active since July 12, 2009PECOS Enrolled
12918 63RD AVE N, MAPLE GROVE, MN 55369(763) 210-9966 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, Jan 10, 2023 (2 updates tracked since 2023).

About Miss Naomi Nicole Doriott Larson M.a., Lpc NPPES

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

MISS NAOMI NICOLE DORIOTT LARSON M.A., LPC (NPI 1609005636) is an individual professional provider in Maple Grove, Minnesota, licensed in Wisconsin (4609-125) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609005636
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS NAOMI NICOLE DORIOTT LARSONCredential: M.A., LPC
Location Address12918 63RD AVE NMaple Grove, MN 55369-6001
Mailing Address12918 63rd Ave NMaple Grove, MN 55369-6001 · (763) 210-9966 · Fax (715) 377-0010
Phone(763) 210-9966
Sole ProprietorYes
Enumeration DateJuly 12, 2009
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1609005636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 4609-125✔ Licensed in WI · 619-226
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
12918 63RD AVE N, Maple Grove, MN 55369
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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)

Miss Naomi Nicole Doriott Larson M.a., Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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

ALYSHA KVAM
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
MATTHEW THIEDE
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
BETHANY R DILLON MA, LPCC, CCTP
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (651) 238-1855
KELLY SIMON
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (612) 554-3737
COLLABORATIVE COUNSELING LLC
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
CHRISTINA BUSCKO LPCC
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
MELISSA PAVLIK LMFT
Marriage & Family Therapist
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966
CATHERINE NICOLE BREUER JOHNSON LPCC
Counselor (Mental Health)
12918 63RD AVE N
MAPLE GROVE, MN 55369
Hennepin County (763) 210-9966

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 Naomi Doriott Larson's NPI number?

The NPI number for Naomi Doriott Larson is 1609005636. It was assigned to this individual provider in the NPPES registry on July 12, 2009.

Where is Naomi Doriott Larson located?

Naomi Doriott Larson practices at 12918 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (763) 210-9966.

What is Naomi Doriott Larson's specialty?

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

Is Naomi Doriott Larson enrolled in Medicare?

Yes. Naomi Doriott Larson is registered in the Medicare PECOS enrollment system.

What insurance does Naomi Doriott Larson accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Providence Health Plan and UnitedHealthcare list Naomi Doriott 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 Naomi Doriott Larson was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.