Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Larsen

Individual provider Case Manager/Care Coordinator · NPI 1255885299

Austin Larsen is a Clinical Psychologist in St Louis Park, Minnesota. Qualified in 2023, 3 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3123
Fax: (952) 993-3286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6301 19th Ave Nw, Minot, ND 58703-8899 — (701) 852-3628

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP7146 (MN)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1255885299
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2016
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in St Louis Park