KELLY LYN LARSEN
NPI 1902480676
Counselor - Professional in Livingston, TX

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment
2200 S WASHINGTON AVE, LIVINGSTON, TX 77351(936) 933-2770 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Lyn Larsen NPPES

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

KELLY LYN LARSEN (NPI 1902480676) is an individual professional provider in Livingston, Texas, licensed in Texas (77195) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902480676
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY LYN LARSEN
Location Address2200 S WASHINGTON AVELivingston, TX 77351-4058
Mailing Address555 Dickens Landing DrLivingston, TX 77351-1267 · (936) 933-2770
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 10, 2021
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1902480676 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 TX · 77195
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 77195 (TX)
2200 S WASHINGTON AVE, Livingston, TX 77351

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Lyn Larsen 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 ID8426583733
PECOS Enrollment IDI20241123000052
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.

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 Kelly Larsen's NPI number?

The NPI number for Kelly Larsen is 1902480676. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Kelly Larsen located?

Kelly Larsen practices at 2200 S Washington Ave, Livingston, TX 77351. The listed phone number is (936) 933-2770.

What is Kelly Larsen's specialty?

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

Is Kelly Larsen enrolled in Medicare?

Yes. Kelly Larsen 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.

What insurance does Kelly Larsen accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company and Providence Health Plan and 2 other insurers list Kelly Larsen 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 Kelly Larsen was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.