NICOLE LARSEN M.MFT,LMFT-ASSOCIATE
NPI 1639891161
Marriage & Family Therapist in Cypress, TX
About Nicole Larsen M.mft,lmft-associate NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LARSEN M.MFT,LMFT-ASSOCIATE (NPI 1639891161) is an individual marriage & family therapist in Cypress, Texas, licensed in Texas (204730) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Larsen M.mft,lmft-associate is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Larsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78232
- Reassigned Medicare billing, Texas enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CYPRESS, TX 77429
CYPRESS, TX 77429
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 Larsen's NPI number?
The NPI number for Nicole Larsen is 1639891161. It was assigned to this individual provider in the NPPES registry on September 12, 2022. The provider is also known as Nikki Larsen M.Mft,lmft-Associate.
Where is Nicole Larsen located?
Nicole Larsen practices at 17920 Huffmeister Rd Ste 150, Cypress, TX 77429. The listed phone number is (832) 421-8714.
What is Nicole Larsen's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Nicole Larsen enrolled in Medicare?
Yes. Nicole Larsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nicole Larsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Larsen reassigns Medicare benefits to Desta Therapy, LLC (San Antonio, TX). The 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 Nicole Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Larsen accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Nicole Larsen 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 Larsen was last updated on September 12, 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.
# Nicole Larsen, M.MFT,LMFT-ASSOCIATE · NPI 1639891161
Marriage & Family Therapist provider in Cypress, Texas. Individual provider, active in the CMS NPPES registry since September 12, 2022.
## Identity
- **NPI:** 1639891161 (Entity type: Individual)
- **Enumerated:** September 12, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 204730 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17920 HUFFMEISTER RD STE 150, Cypress, TX 77429-6445
- **Phone:** (832) 421-8714
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Desta Therapy, LLC (NPI 1891529673, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 12, 2022
- **Other identifiers:** Other 204730 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1639891161) · Data from the CMS NPPES public registry.