MEDICARE: NICHOLAS LARSEN MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	4988	MN

General Provider Information

NPI Number	:	1659170090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS LARSEN MS

Provider Business Mailing Address
First Line	:	702 34TH AVE E
Second Line	:
City	:	ALEXANDRIA
State	:	MN
Zip	:	56308-2599
Country	:	US
Telephone Number	:	320-762-2400
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 34TH AVE E
Second Line	:
City	:	ALEXANDRIA
State	:	MN
Zip	:	56308-2599
Country	:	US
Telephone Number	:	320-762-2400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	05/18/2026

Similar Medicare Providers

1346899580 — ERIK LARSON
Practice Location Address:

702 34TH AVE E
ALEXANDRIA, MN
56308-2599

Practice Phone: 320-762-2400
Practice Fax: 320-762-8047

1205727153 — RACHEL ANN EARLEY
Practice Location Address:

702 34TH AVE E
ALEXANDRIA, MN
56308-2599

Practice Phone: 320-762-2400
Practice Fax:

1447203906 — AMITA GHOSH M.ED.
Practice Location Address:

1407 ALEXANDRIA PIKE
FORT THOMAS, KY
41075-2599

Practice Phone: 859-391-1255
Practice Fax:

1972093359 — JULIE FINN SOLE PROPRIETOR
Practice Location Address:

1407 ALEXANDRIA PIKE
FORT THOMAS, KY
41075-2599

Practice Phone: 513-907-9007
Practice Fax: 859-441-1462

1669303574 — JAE HEE PARK
Practice Location Address:

510 22ND AVE E STE 401
ALEXANDRIA, MN
56308-4815

Practice Phone: 320-762-2101
Practice Fax:

1992035158 — TONYA DAWN ONSTAD M.S.P.T.
Practice Location Address:

321 ROOSEVELT ST
ALEXANDRIA, MN
56308-1636

Practice Phone: 320-420-6336
Practice Fax:

Directions to “ NICHOLAS LARSEN MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.