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PHYLLIS LARSON LPC
NPI 1891732707
Counselor - Professional in Jefferson City, MO

Active since May 31, 2006
1432 SOUTHWEST BLVD, JEFFERSON CITY, MO 65109(573) 632-5560(573) 632-5875 Get Directions Write a Review

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Phyllis Larson Lpc NPPES

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

PHYLLIS LARSON LPC (NPI 1891732707) is an individual professional provider in Jefferson City, Missouri, licensed in Missouri (434) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1891732707
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePHYLLIS LARSONCredential: LPC
Location Address1432 SOUTHWEST BLVDJefferson City, MO 65109
Mailing Address1432 Southwest Blvd, Capital Region Psychology & CounselingJefferson City, MO 65109 · (573) 632-5560 · Fax (573) 632-5875
Phone(573) 632-5560
Fax(573) 632-5875
Sole ProprietorNo
Enumeration DateMay 31, 2006
Last NPPES UpdateJuly 1, 2009
✔ NPI 1891732707 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 MO · 434
1432 SOUTHWEST BLVD, Jefferson City, MO 65109
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Other Identifiers 2

Other166304MO · Bcbs
Medicaid493531677MO

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.

VINEELA KASIREDDY MD
Internal Medicine (Hematology & Oncology)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 632-4800
LINDA SCHULTZ MS PSYCHOLOGIST
Psychologist
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 632-5560
ZACHARY C DWIGGINS LPC
Counselor (Professional)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 632-5560
CAPITAL REGION MEDICAL CENTER
Ophthalmology
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 632-5576
BEATRIZ ALEJANDRA FORTALEZA ANP
Nurse Practitioner (Psychiatric/Mental Health)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 632-5560
AMY GRUSS
Pharmacist (Oncology)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 632-4819
MRS. KENDALL LEA GRAYSON MA, LPC
Counselor (Professional)
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 632-5560
DR. DAVID GEORGE LANCASTER D.O.
Physical Medicine & Rehabilitation
1432 SOUTHWEST BLVD
JEFFERSON CITY, MO 65109
Cole County (573) 632-5660

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 Phyllis Larson's NPI number?

The NPI number for Phyllis Larson is 1891732707. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Phyllis Larson located?

Phyllis Larson practices at 1432 Southwest Blvd, Jefferson City, MO 65109. The listed phone number is (573) 632-5560.

What is Phyllis Larson's specialty?

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

When was this NPI record last updated?

The NPPES record for Phyllis Larson was last updated on July 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.