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

Stephanie Larson

Individual provider Mental Health Counselor · NPI 1013482264

Stephanie Larson is a Mental Health Counselor in Two Rivers, Wisconsin. Qualified in 2015, 11 years ago. Practices as a sole proprietor.

Years since qualifying
11
In the registry since
2018

Practice location Address checks out

3120 Memorial Dr
Two Rivers, WI 54241-3229
Phone: (920) 657-1780
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1013482264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2018
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026
Mailing address1499 Sixth Street, Green Bay, WI 54304

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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