CHARLES JAMES LARSEN-KALLA MA LMHC
NPI 1790006864
Counselor - Mental Health in Seattle, WA
About Charles James Larsen-kalla Ma Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES JAMES LARSEN-KALLA MA LMHC (NPI 1790006864) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH00006456) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
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
Charles James Larsen-kalla Ma Lmhc 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 Reassignment
Medicare enrollment records show Charles Larsen-kalla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mountlake Terrace, WA 98043
- Reassigned Medicare billing, Washington enrollment
- 777 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.
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 Charles Larsen-kalla's NPI number?
The NPI number for Charles Larsen-kalla is 1790006864. It was assigned to this individual provider in the NPPES registry on June 11, 2010.
Where is Charles Larsen-kalla located?
Charles Larsen-kalla practices at 325 9th Ave, Seattle, WA 98104. The listed phone number is (206) 744-9634.
What is Charles Larsen-kalla's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Charles Larsen-kalla enrolled in Medicare?
Yes. Charles Larsen-kalla 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 organization bills Medicare for Charles Larsen-kalla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Larsen-kalla reassigns Medicare benefits to Mindful Therapy Group PC (Mountlake Terrace, WA). The 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 Charles Larsen-kalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Larsen-kalla accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Charles Larsen-kalla 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 Charles Larsen-kalla was last updated on June 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Charles James Larsen-Kalla, MA LMHC · NPI 1790006864
Mental Health provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since June 11, 2010.
## Identity
- **NPI:** 1790006864 (Entity type: Individual)
- **Enumerated:** June 11, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LH00006456 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 325 9TH AVE, Seattle, WA 98104-2420
- **Phone:** (206) 744-9634 · **Fax:** (206) 744-9919
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mindful Therapy Group PC (NPI 1316238678, Mountlake Terrace, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** June 11, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1790006864) · Data from the CMS NPPES public registry.