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LARISSA FRAVEL
NPI 1841641586
Counselor - Professional in Appleton, WI

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
1620 S LAWE ST STE 1, APPLETON, WI 54915(920) 915-0102(920) 481-3121 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2025, Dec 14, 2021, Nov 25, 2020 and 2 more (5 updates tracked since 2016).

About Larissa Fravel NPPES

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

LARISSA FRAVEL (NPI 1841641586) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (5984-125) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1841641586
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLARISSA FRAVEL
Location Address1620 S LAWE ST STE 1Appleton, WI 54915-2419
Mailing Address1620 S Lawe St, Ste 1Appleton, WI 54915-2419 · (920) 284-9676 · Fax (920) 481-3121
Phone(920) 915-0102
Fax(920) 481-3121
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 23, 2016
Last NPPES UpdateFebruary 25, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1841641586 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 · 5984-125
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5984-125 (WI)
1620 S LAWE ST STE 1, Appleton, WI 54915
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Accepted Insurance

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

Larissa Fravel 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 ID2860836731
PECOS Enrollment IDI20240314001347
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 Larissa Fravel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reflection, LLC
Same address
Mental Health
1620 S LAWE ST STE 1
Appleton, WI 54915
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
NPI 1588323893 (920) 284-9676

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 4

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

JANE EMILY KLINGBERG COUNSELOR
Counselor (Mental Health)
1620 S LAWE ST STE 1
APPLETON, WI 54915
Calumet County (920) 284-9676
REFLECTION, LLC
Counselor (Mental Health)
1620 S LAWE ST STE 1
APPLETON, WI 54915
Calumet County (920) 284-9676
STEVEN FRICKE
Counselor (Professional)
1620 S LAWE ST STE 1
APPLETON, WI 54915
Calumet County (920) 287-9545
REWIRING NEURAL PATHWAYS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1620 S LAWE ST STE 1
APPLETON, WI 54915
Calumet County (920) 358-0439

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 Larissa Fravel's NPI number?

The NPI number for Larissa Fravel is 1841641586. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Larissa Fravel located?

Larissa Fravel practices at 1620 S Lawe St Ste 1, Appleton, WI 54915. The listed phone number is (920) 915-0102.

What is Larissa Fravel's specialty?

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

Is Larissa Fravel enrolled in Medicare?

Yes. Larissa Fravel 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 Larissa Fravel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Fravel reassigns Medicare benefits to Reflection, LLC (Appleton, 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 Larissa Fravel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larissa Fravel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and UnitedHealthcare list Larissa Fravel 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 Larissa Fravel was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.