Nicole Larsen, MMFT,LMFT-ASSOCIATE in Cypress, TX - Medicare Marriage And Family Therapist Provider

Nicole Larsen, MMFT,LMFT-ASSOCIATE is a medicare enrolled "Marriage & Family Therapist" provider in Cypress, Texas. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Desta Therapy, Llc and her current practice location is 17920 Huffmeister Rd Ste 150, Cypress, Texas. You can reach out to her office (for appointments etc.) via phone at (832) 421-8714.

Nicole Larsen is licensed to practice in Texas (license number 204730) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639891161.

Contact Information

	Nicole Larsen, MMFT,LMFT-ASSOCIATE
	17920 Huffmeister Rd Ste 150, Cypress, TX 77429-6445
	(832) 421-8714
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Larsen
Gender	Female
Speciality	Marriage And Family Therapist
Experience	4 Years
Location	17920 Huffmeister Rd Ste 150, Cypress, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Larsen graduated from medical school in 2022

NPI Data:

NPI Number: 1639891161
Provider Enumeration Date: 09/12/2022
Last Update Date: 09/12/2022

Medicare PECOS Information:

PECOS PAC ID: 1456875525
Enrollment ID: I20250410000705

Medical Identifiers

Medical identifiers for Nicole Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639891161	NPI	-	NPPES
204730	Other	TX	TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	204730 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Desta Therapy, Llc	8224566708	2

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. Nicole Larsen allows following entities to bill medicare on her behalf.

Entity Name	Desta Therapy, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891529673 PECOS PAC ID: 8224566708 Enrollment ID: O20250113000022

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. Nicole Larsen 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
Nicole Larsen, MMFT,LMFT-ASSOCIATE 16411 Falcons Cove Dr, Houston, TX 77095-5435 Ph: (281) 513-5650	Nicole Larsen, MMFT,LMFT-ASSOCIATE 17920 Huffmeister Rd Ste 150, Cypress, TX 77429-6445 Ph: (832) 421-8714

Reviews and Comments

Marriage & Family Therapist in Cypress, TX

Brandy Nicole Brock, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12715 Telge Rd, Cypress, TX 77429 Phone: 713-466-1360
Morgan Davies, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17302 House Hahl Rd Ste 322, Cypress, TX 77433 Phone: 281-603-0843
Mr. Mark Douglas Cochran, Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 8118 Fry Rd Ste 203, Cypress, TX 77433 Phone: 281-377-3743 Fax: 713-904-2417
Holly Ann Crosby, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 14930 Mueschke Rd Ste 100, Cypress, TX 77433 Phone: 346-206-3992 Fax: 832-652-3626
Sonali Gaurang Chokshi, MA, LMFT-A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17920 Huffmeister Rd Ste 150, Cypress, TX 77429 Phone: 832-421-8714
Kristin O'connor, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12715 Telge Rd, Cypress, TX 77429 Phone: 713-466-1360
Mrs. Sarah Elizabeth Marshall, LMFTA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14811 Brenly Dr, Cypress, TX 77429 Phone: 832-423-0069

Nicole Larsen, MMFT,LMFT-ASSOCIATE - Medicare Couples Therapy in Cypress, TX