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JACKIE LARSEN
NPI 1659050177
Speech-Language Pathologist in Springville, UT

Active since July 12, 2023Accepts Medicare Assignment
1211 S 1530 W, SPRINGVILLE, UT 84663(562) 841-2877 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackie Larsen NPPES

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

JACKIE LARSEN (NPI 1659050177) is an individual speech-language pathologist provider in Springville, Utah, licensed in Utah (115154024102) and active in the NPI registry since July 2023. She is a graduate of University Of Hawaii John A. Burns School Of Medicine (2018).

NPPES Registry Identity

NPI1659050177
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACKIE LARSEN
Location Address1211 S 1530 WSpringville, UT 84663-5074
Mailing Address1211 S 1530 WSpringville, UT 84663-5074 · (562) 841-2877
Phone(562) 841-2877
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2018
Enumeration DateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1659050177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in UT · 115154024102
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1211 S 1530 W, Springville, UT 84663
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackie Larsen 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.

PECOS PAC ID143674432
PECOS Enrollment IDI20230920001464

Other Providers at the Same Location NPPES

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

LIVE WELL SPEECH THERAPY LLC
Speech-Language Pathologist
1211 S 1530 W
SPRINGVILLE, UT 84663
Utah County (562) 841-2877

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 Jackie Larsen's NPI number?

The NPI number for Jackie Larsen is 1659050177. It was assigned to this individual provider in the NPPES registry on July 12, 2023.

Where is Jackie Larsen located?

Jackie Larsen practices at 1211 S 1530 W, Springville, UT 84663. The listed phone number is (562) 841-2877.

What is Jackie Larsen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jackie Larsen enrolled in Medicare?

Yes. Jackie 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.

What insurance does Jackie Larsen accept?

Health plans from Select Health list Jackie 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 Jackie Larsen was last updated on July 12, 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.