ZACHARY LARSON (LMHC) – Mental Health Counselor, NPI 1235895343

ZACHARY LARSON (LMHC) is a healthcare provider. based in Fleming island, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. MH19880 (FL). The NPI Number for ZACHARY LARSON (LMHC) is 1235895343

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY LARSON (LMHC)
NPI
1235895343
Phone
(904) 600-7799
Address
1980 HARBOR ISLAND DR
Enumeration Date
12 November 2021
Last Update Date
12 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042646977
Graduation Year
2019 (7 years ago)
PAC ID
8325490659
Group Practice PAC ID
9133441421
Professional Enrollment ID
I20240122004605
Address ID
FL320734570OR1543XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for ZACHARY LARSON (LMHC)

  • 1980 HARBOR ISLAND DR

    FLEMING ISLAND, FL 320037257

    Phone: (904) 600-7799

    Type: Mailing

  • 1543 KINGSLEY AVE STE 14

    ORANGE PARK, FL 320734570

    Phone: (904) 264-6977

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240122004605IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133441421View full group profile
NameSpecialtyState
Mental Health CounselorFL
Psychiatry, Geriatric PsychiatryFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference ZACHARY LARSON (LMHC)?
For ZACHARY LARSON (LMHC), use NPI 1235895343 as the unique 10-digit identifier.
Is ZACHARY LARSON (LMHC) still an active registrant?
ZACHARY LARSON (LMHC) carries an active NPI according to the public dataset.
What clinical focus is listed for ZACHARY LARSON (LMHC)?
At a glance, ZACHARY LARSON (LMHC) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is ZACHARY LARSON (LMHC) associated with Fleming Island?
Public fields place ZACHARY LARSON (LMHC) around Fleming Island, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ZACHARY LARSON (LMHC) is noted as November 12, 2021 where the registry provides it.

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