1. Home
  2. Directory
  3. Wisconsin
  4. De Pere
  5. Counselor
  6. NPI Profile

MRS. JODY B LARSON LPC, ATRL
NPI 1750590477
Counselor - Professional in De Pere, WI

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
1325 ANGELS PATH, DE PERE, WI 54115(920) 338-2855(920) 338-9270 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1750590477
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. JODY B LARSONCredential: LPC, ATRL
Location Address1325 ANGELS PATHDe Pere, WI 54115-4050
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 338-2855
Fax(920) 338-9270
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 21, 2007
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1750590477 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 WI · 2479-125
Also ListedArt TherapistTaxonomy 221700000X · License 62-036 (WI)
1325 ANGELS PATH, De Pere, WI 54115
Open in Google Maps ↗

Other Identifiers 1

Other497057National Board For Certified Counselors

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

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.

PECOS PAC ID8921451766
PECOS Enrollment IDI20240129003103
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MR. CHARLES J LATORRE LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
BELLIN PSYCHIATRIC CENTER INC
Counselor (Mental Health)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 433-3630
NATALIE M DEUSTER MSW,LCSW,SAC
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
KIM L KEYSER LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MS. DEANNA L DITTLOFF
Counselor (Professional)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
MRS. GRETCHEN ANNE EBELT MSW,LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
JENNIFER L VANRITE M.S.W.
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855
HANNAH LEIGH BAUER LCSW
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Brown County (920) 338-2855

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.

What insurance does Jody Larson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica 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 with the weekly NPPES data releases published by CMS.