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

Jeremy Larsen

Individual provider Counselor · NPI 1598127169

Jeremy Larsen is a Counselor in Provo, Utah. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1598127169
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESOctober 11, 2021
Certification dateOctober 11, 2021

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