Mrs Coleen D Larrick, LICDC, LPN is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" in Maumee, Ohio. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
1655 Holland Rd Ste F, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at
(866) 934-7450.
Mrs Coleen D Larrick is licensed to practice in Ohio (license number LICDC.162003) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376675595.
Provider's Profile
| Full Name | Mrs Coleen D Larrick |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 6 Years |
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| Location | 1655 Holland Rd Ste F, Maumee, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Coleen D Larrick graduated from nursing school in 2019
NPI Data:
- NPI Number: 1376675595
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476051194
- Enrollment ID: I20250812002636
Medical Identifiers
Medical identifiers for Mrs Coleen D Larrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376675595 | NPI | - | NPPES |
| 2415738 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN.113413.MEDS-IV (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.162003 (Ohio) | Primary |
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. Mrs Coleen D Larrick 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 |
|---|
Mrs Coleen D Larrick, LICDC, LPN
4600 Montgomery Rd Ste 400,
Cincinnati, OH 45212-2600
Ph: () - | Mrs Coleen D Larrick, LICDC, LPN
1655 Holland Rd Ste F,
Maumee, OH 43537-1656
Ph: (866) 934-7450 |
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