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Active NPI 1376015719 Individual Practitioner Male Practitioner

Alexander Larson

Counselor - Professional • Saint Paul, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Alexander Larson is a certified Counselor - Professional practicing in Saint Paul, MN. With approximately 8 years of clinical experience since completing medical education in 2018, Alexander Larson delivers high-quality medical care to the local community at 451 LEXINGTON PKWY N.

Alexander Larson is affiliated with Amherst H. Wilder Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

451 Lexington Pkwy N

Saint Paul, MN 551044636

Telephone 6512802310
Associated Practice Facility / Clinic
🏢 Amherst H. Wilder Foundation Facility NPI 1548337355

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Saint Paul, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -3.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
203 Specialists

Practicing in Saint Paul, MN (2422 Statewide)

Telehealth Adoption Rate
8.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Larson (8 Years) 8 Yrs
Saint Paul Specialty Average (11.2 Years) 11.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-01-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC02773

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License MN 304937

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ladc
304937 (MN)

Hospital & Practice Group Affiliations

Amherst H. Wilder Foundation

451 Lexington Pkwy N, Saint Paul, MN 551044636

Phone: 6512802310

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Pang Xiong

Counselor - Professional

NPI 1003450198
Mai Bao Xiong

Marriage & Family Therapist

NPI 1013401785
Jasmine Ellis

Social Worker - Clinical

NPI 1033076948
Bethany Alexander

Counselor - Professional

NPI 1053143529
Pa Kou Yang

Social Worker - Clinical

NPI 1053158782
Pahoua Yang , LICSW

Social Worker - Clinical

NPI 1053546432

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2022

Counselor (License #CC02773 in MN)

NPI Profile Active December 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2018

Registered at 451 LEXINGTON PKWY N, SAINT PAUL, MN 551044636 (Tel: 6512802310)

📍
Updated Business Mailing Address December 26, 2018

Registered at 451 LEXINGTON PKWY N, SAINT PAUL, MN 551044636 (Tel: 6512802310)

👤
Provider Name / Credentials Updated December 26, 2018

Recorded as ALEXANDER LARSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2018

Counselor (License #304937 in MN)

🟢
Initial NPI Registration & Enumeration December 26, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376015719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2018
Last Update: January 12, 2022
Sole Proprietor: No

Mailing Address

451 Lexington Pkwy N

Saint Paul, MN 551044636

Phone: 6512802310

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.