Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063010130 Individual Practitioner Female Practitioner

Angela G Larson

Counselor • Davenport, WA

Professional Overview & Biography Verified Profile Summary

Angela Larson is a registered healthcare professional specializing in Counselor in Davenport, WA. Practice services are available at 1211 MERRIAM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1211 Merriam St

Davenport, WA 991228654

Telephone 5097253001
Fax 5097251609
Associated Practice Facility / Clinic
🏢 Stevens County Facility NPI 1891792966

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Davenport, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Davenport, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-12
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA MC61099017

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Breanne Lamoureaux

Social Worker

NPI 1043029101
Cody Andres

Social Worker

NPI 1063090231
NPI 1124895644
NPI 1144797648
Shannon Karlinsey

Peer Specialist

NPI 1174256408
Jason Chambers

Peer Specialist

NPI 1336948645

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2020

Registered at 1211 MERRIAM ST, DAVENPORT, WA 991228654 (Tel: 5097253001)

📍
Updated Business Mailing Address October 12, 2020

Registered at 165 E HAWTHORNE AVE, COLVILLE, WA 991142629 (Tel: 5096844597)

👤
Provider Name / Credentials Updated October 12, 2020

Recorded as ANGELA LARSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2020

Counselor (License #MC61099017 in WA)

🟢
Initial NPI Registration & Enumeration October 12, 2020

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: 1063010130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2020
Last Update: October 12, 2020
Sole Proprietor: No

Mailing Address

165 E Hawthorne Ave

Colville, WA 991142629

Phone: 5096844597

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.