Kyra Larson, in Deer Park, WA - Medicare Counselor Provider

Kyra Larson, is a medicare enrolled "Counselor - Mental Health" provider in Deer Park, Washington. Her current practice location is 204 E F St Unit B, Deer Park, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 475-8137.

Kyra Larson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083083299.

Contact Information

	Kyra Larson,
	204 E F St Unit B, Deer Park, WA 99006-5470
	(509) 475-8137
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyra Larson
Gender	Female
Speciality	Counselor - Mental Health
Location	204 E F St Unit B, Deer Park, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083083299
Provider Enumeration Date: 09/17/2015
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 4587014584
Enrollment ID: I20240102003970

Medical Identifiers

Medical identifiers for Kyra Larson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083083299	NPI	-	NPPES
C8309	Other	OR	LPC
MBTCOU-10245	Other	ID	LPC
LH61098129	Other	WA	LMHC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyra Larson allows following entities to bill medicare on her behalf.

Entity Name	Sokyahealth Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447842232 PECOS PAC ID: 9739575648 Enrollment ID: O20220706000817

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyra Larson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kyra Larson, 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651	Kyra Larson, 204 E F St Unit B, Deer Park, WA 99006-5470 Ph: (509) 475-8137

Reviews and Comments

Counselor in Deer Park, WA

Mr. Jay E Mitchell, MA, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 W Crawford St Ste J, Deer Park, WA 99006 Phone: 509-818-6844
Joshua Adams Bruns, LPC, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 401 S Main St, Deer Park, WA 99006 Phone: 509-444-8200
Christy Dawn White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 E H St Ste F, Deer Park, WA 99006 Phone: 509-276-7768 Fax: 833-281-1582
Ronald Stanley Nelson, DOCTOR CMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4006 W Staley Rd, Deer Park, WA 99006 Phone: 509-312-9875
Vashon R Coe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 E H St Ste F, Deer Park, WA 99006 Phone: 509-276-7768
Megan Ashton Tapiz, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 347 S Colville Rd, Deer Park, WA 99006 Phone: 509-464-5500 Fax: 509-464-5510

Kyra Larson, - Medicare Counselor in Deer Park, WA