MR. SHANE MICHAEL LARSON M.S., LPC-MH
NPI 1679655856
Counselor - Professional in Watertown, SD

Q: What is Shane Larson's NPI number?

The NPI number for Shane Larson is 1679655856. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Q: What is Shane Larson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Larson was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 19, 2006

100 S MAPLE, SUITE 204, WATERTOWN, SD 57201(605) 520-0157 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Shane Michael Larson M.s., Lpc-mh NPPES

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

MR. SHANE MICHAEL LARSON M.S., LPC-MH (NPI 1679655856) is an individual professional provider in Watertown, South Dakota, licensed in South Dakota (LPCMH2210) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1679655856

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. SHANE MICHAEL LARSONCredential: M.S., LPC-MH

Location Address100 S MAPLE, SUITE 204Watertown, SD 57201-3678

Mailing AddressPo Box 1131Watertown, SD 57201-6131 · (605) 520-0157

Phone(605) 520-0157

Sole ProprietorYes

Enumeration DateOctober 19, 2006

Last NPPES UpdateApril 24, 2017

✔ NPI 1679655856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SD · LPCMH2210

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

100 S MAPLE, Watertown, SD 57201

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Other Identifiers 1

Medicaid5200010SD

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 Shane Larson's NPI number?

The NPI number for Shane Larson is 1679655856. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Shane Larson located?

Shane Larson practices at 100 S Maple Suite 204, Watertown, SD 57201. The listed phone number is (605) 520-0157.

What is Shane Larson's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane Larson was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.