LILY ROSE LARSON
NPI 1932722592
Counselor - Addiction (Substance Use Disorder) in Bloomington, MN

Active since May 18, 2020
1101 E 78TH ST, BLOOMINGTON, MN 55420(952) 234-6860 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2020, May 18, 2020 (2 updates tracked since 2020).

About Lily Rose Larson NPPES

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

LILY ROSE LARSON (NPI 1932722592) is an individual addiction (substance use disorder) provider in Bloomington, Minnesota, licensed in Minnesota (305897) and active in the NPI registry since May 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932722592
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLILY ROSE LARSON
Location Address1101 E 78TH STBloomington, MN 55420-1400
Mailing Address5790 145th Ct NwRamsey, MN 55303-5684
Sole ProprietorNo
Enumeration DateMay 18, 2020
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
NPI 1932722592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 305897
1101 E 78TH ST, Bloomington, MN 55420

Secondary Practice Locations 2

Location 19245 Quantrelle Ave NEOtsego, MN 55330-0168 · Phone (763) 308-8619 · Fax (763) 746-3685
Location 210729 Town Square Dr NE Ste ABlaine, MN 55449-7923 · Phone (763) 200-8248

Other Providers at the Same Location NPPES 15

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

Marriage & Family Therapist
1101 E 78TH ST, SUITE 318
BLOOMINGTON, MN 55420
Counselor (Addiction (Substance Use Disorder))
1101 E 78TH ST, 100
BLOOMINGTON, MN 55420
Psychologist (Clinical)
1101 E 78TH ST, SUITE 100
BLOOMINGTON, MN 55420
Counselor (Mental Health)
1101 E 78TH ST
BLOOMINGTON, MN 55420
Psychologist (Clinical)
1101 E 78TH ST, STE. 100
BLOOMINGTON, MN 55420
Counselor (Mental Health)
1101 E 78TH ST, SUITE 100
BLOOMINGTON, MN 55420
Social Worker (Clinical)
1101 E 78TH ST
BLOOMINGTON, MN 55420
Psychologist (Rehabilitation)
1101 E 78TH ST
MINNEAPOLIS, MN 55420

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 Lily Larson's NPI number?

The NPI number for Lily Larson is 1932722592. It was assigned to this individual provider in the NPPES registry on May 18, 2020.

Where is Lily Larson located?

Lily Larson practices at 1101 E 78th St, Bloomington, MN 55420. The listed phone number is (952) 234-6860.

What is Lily Larson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lily Larson was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.