LARISSA MARIE GIESEKE LMFT
NPI 1962167742
Marriage & Family Therapist in Mankato, MN

Active since November 05, 2021PECOS Enrolled
201 N BROAD ST, MANKATO, MN 56001(507) 225-1500 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2026, Nov 5, 2021 (2 updates tracked since 2021).

About Larissa Marie Gieseke Lmft NPPES

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

LARISSA MARIE GIESEKE LMFT (NPI 1962167742) is an individual marriage & family therapist in Mankato, Minnesota, licensed in Minnesota (4577) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1962167742
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLARISSA MARIE GIESEKECredential: LMFT
Location Address201 N BROAD STMankato, MN 56001-3585
Mailing Address201 N Broad StMankato, MN 56001-3585 · (507) 225-1500 · Fax (507) 225-1501
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 5, 2021
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1962167742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 4577
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
201 N BROAD ST, Mankato, MN 56001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Larissa Marie Gieseke Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870069271
PECOS Enrollment IDI20260414001550
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.

Other Providers at the Same Location NPPES 18

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

Counselor (Professional)
201 N BROAD ST
MANKATO, MN 56001
Chiropractor
201 N BROAD ST, SUITE 302
MANKATO, MN 56001
Counselor (Mental Health)
201 N BROAD ST
MANKATO, MN 56001
Voluntary or Charitable
201 N BROAD ST, SUITE 102
MANKATO, MN 56001
Social Worker (Clinical)
201 N BROAD ST
MANKATO, MN 56001
Nurse Practitioner (Psychiatric/Mental Health)
201 N BROAD ST
MANKATO, MN 56001
Marriage & Family Therapist
201 N BROAD ST
MANKATO, MN 56001
Marriage & Family Therapist
201 N BROAD ST
MANKATO, MN 56001

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 Gieseke's NPI number?

The NPI number for Larissa Gieseke is 1962167742. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Where is Larissa Gieseke located?

Larissa Gieseke practices at 201 N Broad St, Mankato, MN 56001. The listed phone number is (507) 225-1500.

What is Larissa Gieseke's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Larissa Gieseke enrolled in Medicare?

Yes. Larissa Gieseke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larissa Gieseke was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.