Nicole Larsen, M.MFT,LMFT-ASSOCIATE
NPI 1639891161ActiveIndividual· Marriage & Family Therapist· Cypress, TX
Marriage & Family Therapist (M.MFT,LMFT-ASSOCIATE) with Desta Therapy, LLC, practicing in Cypress, Texas. Enrolled in Medicare as practitioner - marriage and family therapist.
Overview
| NPI | 1639891161 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.MFT,LMFT-ASSOCIATE |
| Sole proprietor | Yes |
| NPI issued | Sep 12, 2022 |
| Last updated in NPPES | Sep 12, 2022 |
| Certified by provider | Sep 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 204730 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (TX) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Desta Therapy, LLCSan Antonio, TX · 9 clinicians
Other Marriage & Family Therapist providers in Cypress
- 1508698978
- 1821475039
- 1003542564
- 1447592852
- 1740113869
- 1790407674
- 1083144240
- 1174203038
- 1083060115
- 1891515813
- 1629990148
- 1811710833