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KEITH DAVID LARSEN
NPI 1679092167
Peer Specialist in Canon City, CO

Active since September 15, 2017
3239 INDEPENDENCE RD, CANON CITY, CO 81212(719) 275-7650 Get Directions Write a Review

NPPES record last updated: September 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith David Larsen NPPES

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

KEITH DAVID LARSEN (NPI 1679092167) is an individual peer specialist in Canon City, Colorado and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1679092167
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEITH DAVID LARSEN
Location Address3239 INDEPENDENCE RDCanon City, CO 81212-9380
Mailing Address3239 Independence RdCanon City, CO 81212-9380
Phone(719) 275-7650
Sole ProprietorYes
Enumeration DateSeptember 15, 2017
✔ NPI 1679092167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3239 INDEPENDENCE RD, Canon City, CO 81212
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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.

LAURA KRISTIE TAYLOR
Counselor (Addiction (Substance Use Disorder))
3239 INDEPENDENCE RD
CANON CITY, CO 81212
Fremont County (719) 275-7650
WILLIAM DUSTIN PAQUETTE CPFS
Peer Specialist
3239 INDEPENDENCE RD
CANON CITY, CO 81212
Fremont County (719) 275-7650
MISS HEIDI LAMMERT LCSW, LAC
Social Worker (Clinical)
3239 INDEPENDENCE RD
CANON CITY, CO 81212
Fremont County (719) 275-7650
TIFFANY DIANE CARDINAL
Counselor (Addiction (Substance Use Disorder))
3239 INDEPENDENCE RD
CANON CITY, CO 81212
Fremont County (719) 275-7650
SUZETTE MARIE DUSTON
Counselor
3239 INDEPENDENCE RD
CANON CITY, CO 81212
Fremont County (719) 275-7650
MR. THOMAS ROBERT CEKIS
Counselor (Addiction (Substance Use Disorder))
3239 INDEPENDENCE RD
CANON CITY, CO 81212
Fremont County (719) 275-7650
JESSICA ANNE SALO MA, NCC
Counselor (Mental Health)
3239 INDEPENDENCE RD
CANON CITY, CO 81212
Fremont County (719) 275-7650
TALETHA SENECAL LSW, LAC
Counselor (Addiction (Substance Use Disorder))
3239 INDEPENDENCE RD
CANON CITY, CO 81212
Fremont County (719) 275-7650

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 Keith Larsen's NPI number?

The NPI number for Keith Larsen is 1679092167. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Keith Larsen located?

Keith Larsen practices at 3239 Independence Rd, Canon City, CO 81212. The listed phone number is (719) 275-7650.

What is Keith Larsen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Keith Larsen was last updated on September 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.