| Alexander Larson, | |
|
2701 University Ave Se Ste 204, Minneapolis, MN 55414-3236 | |
| (763) 205-4843 | |
| (612) 416-2085 |
| Full Name | Alexander Larson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 2701 University Ave Se Ste 204, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376015719 | NPI | - | NPPES |
| 304937 | Other | MN | LADC |
| CC02773 | Other | MN | LPCC |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amherst H. Wilder Foundation | 0941288922 | 20 |
| Entity Name | Nystrom & Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592 |
| Entity Name | Amherst H. Wilder Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548337355 PECOS PAC ID: 0941288922 Enrollment ID: O20110526000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Larson, 2701 University Ave Se Ste 204, Minneapolis, MN 55414-3236 Ph: (763) 205-4843 | Alexander Larson, 2701 University Ave Se Ste 204, Minneapolis, MN 55414-3236 Ph: (763) 205-4843 |
Nelson Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 E Lake St, Minneapolis, MN 55407 Phone: 612-746-3500 Fax: 612-871-1058 |
Seare Shibeshi, Counselor Medicare: Accepting Medicare Assignments Practice Location: 2215 E Lake St, Minneapolis, MN 55407 Phone: 612-596-9438 |
Daniel James Madsen, MA, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 510 1st Ave N Ste 601, Minneapolis, MN 55403 Phone: 612-367-6929 |
Claire Marie Olson, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5812 Lyndale Ave S, Minneapolis, MN 55419 Phone: 612-243-4108 Fax: 612-869-0313 |
Luke Yost, Counselor Medicare: Medicare Enrolled Practice Location: 621 W Lake St, Minneapolis, MN 55408 Phone: 507-530-5507 |
Mrs. Carmody Alice Sime, LPCC, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-432-2008 |
Heather Grovum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 W 48th St, Minneapolis, MN 55419 Phone: 701-740-4783 |