MRS. JODY B LARSON LPC, ATRL
NPI 1750590477
Counselor - Professional in De Pere, WI
About Mrs. Jody B Larson Lpc, Atrl NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JODY B LARSON LPC, ATRL (NPI 1750590477) is an individual professional provider in De Pere, Wisconsin, licensed in Wisconsin (2479-125) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Jody B Larson Lpc, Atrl 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 Reassignments
2Medicare enrollment records show Jody Larson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
De Pere, WI 54115
- Reassigned Medicare billing, Wisconsin enrollment
- 106 clinicians in this Medicare group
De Pere, WI 54115
- Reassigned Medicare billing, Wisconsin enrollment
- 875 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DE PERE, WI 54115
DE PERE, WI 54115
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 Jody Larson's NPI number?
The NPI number for Jody Larson is 1750590477. It was assigned to this individual provider in the NPPES registry on May 21, 2007.
Where is Jody Larson located?
Jody Larson practices at 1325 Angels Path, De Pere, WI 54115. The listed phone number is (920) 338-2855.
What is Jody Larson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jody Larson enrolled in Medicare?
Yes. Jody Larson 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 organizations bill Medicare for Jody Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jody Larson reassigns Medicare benefits to 2 organizations: Bellin Psychiatric Center Inc (De Pere, WI) and Bellin Memorial Hospital Inc (De Pere, WI). Each 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 Jody Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jody Larson accept?
Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and UnitedHealthcare list Jody 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 Jody Larson was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Jody B Larson, LPC, ATRL · NPI 1750590477
Professional provider in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since May 21, 2007.
## Identity
- **NPI:** 1750590477 (Entity type: Individual)
- **Enumerated:** May 21, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2479-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1325 ANGELS PATH, De Pere, WI 54115-4050
- **Phone:** (920) 338-2855 · **Fax:** (920) 338-9270
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bellin Psychiatric Center Inc (NPI 1588025720, De Pere, WI); Bellin Memorial Hospital Inc (NPI 1235192592, De Pere, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** December 29, 2023
- **Other identifiers:** Other 497057
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Source: [NPI Profile](https://npiprofile.com/npi/1750590477) · Data from the CMS NPPES public registry.