KYRA LARSON – Mental Health Counselor, NPI 1083083299

KYRA LARSON is a healthcare provider. based in Spokane, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. C8309 (OR). The NPI Number for KYRA LARSON is 1083083299

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KYRA LARSON
NPI
1083083299
Phone
(509) 838-4651
Address
107 S DIVISION ST
Enumeration Date
17 September 2015
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3232057088
Graduation Year
2016 (10 years ago)
PAC ID
4587014584
Group Practice PAC ID
8921466228
Professional Enrollment ID
I20240102003970
Address ID
WA98584XXXXSHXXXXXXXXXX00
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:10State licenses:3Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for KYRA LARSON

  • 107 S DIVISION ST

    SPOKANE, WA 992021510

    Phone: (509) 838-4651

    Type: Location

  • 105 S Garden Ave

    Newport, WA 991569001

    Phone: (509) 447-5651

    Type: Location

  • 800 S Weber Rd

    Deer Park, WA 990065289

    Phone: (509) 844-4575

    Type: Location

  • 107 S Division St

    Spokane, WA 992021510

    Phone: (509) 838-4651

    Type: Location

  • 204 E F ST UNIT B

    DEER PARK, WA 990065470

    Phone: (509) 475-8137

    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: 2024-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240102003970IMental Health CounselorWATBD
I20240718000820IMental Health CounselorORTBD

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 99202)

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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: 8921466228View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Mental Health CounselorMD
Clinical Social WorkerMA
Clinical Social WorkerMA
Clinical Social WorkerVA
Mental Health CounselorWV
Clinical Social WorkerVA
Clinical Social WorkerMD
Mental Health CounselorVA
Clinical Social WorkerSC

Reviews

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Frequently asked questions

What identifier follows KYRA LARSON across health systems?
The NPI 1083083299 uniquely identifies KYRA LARSON in U.S. healthcare data.
Quick check: is KYRA LARSON active?
Public NPPES data shows KYRA LARSON with an active NPI status right now.
What services align with KYRA LARSON's listing?
KYRA LARSON's public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is KYRA LARSON tied to Spokane, Washington?
If you are local to Spokane, Washington, KYRA LARSON may be relevant to your search.
Who maintains KYRA LARSON's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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