| Joshua Larsen, | |
|
1370 S West Temple, Salt Lake City, UT 84115-5218 | |
| (801) 678-3317 | |
| Not Available |
| Full Name | Joshua Larsen |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 1370 S West Temple, Salt Lake City, Utah |
| 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 |
|---|---|---|---|
| 1922765791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7223916-6004 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Therapy Associates Pc | 3173882065 | 9 |
| Mental Health And Wellness Group | 9931571734 | 2 |
| Entity Name | Therapy Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578703468 PECOS PAC ID: 3173882065 Enrollment ID: O20180123001292 |
| Entity Name | Mental Health And Wellness Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801520499 PECOS PAC ID: 9931571734 Enrollment ID: O20230203001347 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Larsen, 1370 S West Temple, Salt Lake City, UT 84115-5218 Ph: (801) 678-3317 | Joshua Larsen, 1370 S West Temple, Salt Lake City, UT 84115-5218 Ph: (801) 678-3317 |
Douglas Ray Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Grant St, Salt Lake City, UT 84116 Phone: 801-359-8862 | |
Mr. Siope Lee Kinikini, CHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Highland Dr, Salt Lake City, UT 84121 Phone: 801-272-9980 Fax: 801-272-9976 | |
Jesenia Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 E 200 S, Salt Lake City, UT 84102 Phone: 801-363-0203 Fax: 801-359-3455 | |
Steven Alec Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Austin Giove, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Clarissa Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Katalina Takuvaka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 Phone: 888-949-4864 |