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MRS. KELLI ANNE LARSON
NPI 1790658250
Counselor - Professional in Menomonie, WI

Active since September 29, 2025PECOS Enrolled
800 WILSON AVE RM 330, MENOMONIE, WI 54751(715) 256-7166(888) 427-8048 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kelli Anne Larson NPPES

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

MRS. KELLI ANNE LARSON (NPI 1790658250) is an individual professional provider in Menomonie, Wisconsin, licensed in Wisconsin (8709-226) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eau Claire, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790658250
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KELLI ANNE LARSON
Location Address800 WILSON AVE RM 330Menomonie, WI 54751-2746
Mailing Address800 Wilson Ave Rm 330Menomonie, WI 54751-2746 · (715) 256-7166 · Fax (888) 427-8048
Phone(715) 256-7166
Fax(888) 427-8048
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1790658250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 8709-226
800 WILSON AVE RM 330, Menomonie, WI 54751
Open in Google Maps ↗

Secondary Practice Location 1

Location 14330 Golf Ter Ste 209Eau Claire, WI 54701-4688 · Phone (715) 256-7166 · Fax (888) 427-8048

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelli Anne Larson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577027275
PECOS Enrollment IDI20260714002565
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelli Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Psychological And Consulting Services LLC
Same address
Professional
800 WILSON AVE RM 330
Menomonie, WI 54751
  • Reassigned Medicare billing, Wisconsin enrollment
  • 26 clinicians in this Medicare group
NPI 1487383808 (715) 256-7166

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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIERSTEN LYNETTE BUCK LPC, SAC
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
RACHEL MOE
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
KELLEY RAE MENDALSKI M.S., LPC
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
VICTORIA ROSE PERRON
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7116
ELIZABETH J SPROUL
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
TERESA DEMURO MS LPC-IT
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
VICTORIA BROSES MS
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166
MARISSA ANN GRAMOLL MS
Counselor (Professional)
800 WILSON AVE RM 330
MENOMONIE, WI 54751
Dunn County (715) 256-7166

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 Kelli Larson's NPI number?

The NPI number for Kelli Larson is 1790658250. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Kelli Larson located?

Kelli Larson practices at 800 Wilson Ave Rm 330, Menomonie, WI 54751. The listed phone number is (715) 256-7166.

What is Kelli Larson's specialty?

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

Is Kelli Larson enrolled in Medicare?

Yes. Kelli Larson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelli Larson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Larson reassigns Medicare benefits to Thrive Psychological And Consulting Services LLC (Menomonie, WI). 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 Kelli Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Larson accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelli 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 Kelli Larson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.