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JAKE WESSLEY LARSON
NPI 1861110074
Case Manager/Care Coordinator in Albuquerque, NM

Active since August 15, 2022
1820 PITT ST NE, ALBUQUERQUE, NM 87112(916) 634-3773 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jake Wessley Larson NPPES

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

JAKE WESSLEY LARSON (NPI 1861110074) is an individual case manager/care coordinator provider in Albuquerque, New Mexico and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1861110074
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJAKE WESSLEY LARSON
Location Address1820 PITT ST NEAlbuquerque, NM 87112-3122
Mailing Address1201 3rd St NwAlbuquerque, NM 87102-1403
Phone(916) 634-3773
Sole ProprietorNo
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1861110074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1820 PITT ST NE, Albuquerque, NM 87112
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Other Identifiers 1

Medicaid1902918055NM

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 Jake Larson's NPI number?

The NPI number for Jake Larson is 1861110074. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Jake Larson located?

Jake Larson practices at 1820 Pitt St NE, Albuquerque, NM 87112. The listed phone number is (916) 634-3773.

What is Jake Larson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jake Larson was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.