ALEXANDER LARSON – Professional Counselor, NPI 1376015719

ALEXANDER LARSON is a healthcare provider. based in Saint paul, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. CC02773 (MN). The NPI Number for ALEXANDER LARSON is 1376015719

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER LARSON
NPI
1376015719
Phone
(651) 280-2310
Address
451 LEXINGTON PKWY N
Enumeration Date
26 December 2018
Last Update Date
12 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512802310
Graduation Year
2018 (8 years ago)
PAC ID
5395195531
Group Practice PAC ID
0941288922
Professional Enrollment ID
I20231229001382
Address ID
MN551044636SA451XXNXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for ALEXANDER LARSON

  • Wilder Center, 451, Lexington Parkway North, Hamline-Midway, Saint Paul, Ramsey County, Minnesota, 55104-2008, United States

    SAINT PAUL, MN 551044636

    Phone: (651) 280-2310

    Mailing address matches the actual address.

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: 2023-12-29

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
I20231229001382IMental Health CounselorMNTBD

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 55104)

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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: 0941288922View full group profile
NameSpecialtyState
Mental Health CounselorMN
-MN
-MN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

What unique ID ties claims to ALEXANDER LARSON?
NPI 1376015719 is assigned to ALEXANDER LARSON under the national enumeration system.
Is ALEXANDER LARSON active in the national directory?
ALEXANDER LARSON's public NPI profile is in an active state.
Can you summarize ALEXANDER LARSON's specialty in plain language?
Clinically, the directory lists ALEXANDER LARSON with Professional Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place ALEXANDER LARSON?
The snapshot lists Saint Paul, Minnesota for ALEXANDER LARSON; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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