MADISON LARSON — NPI 1477391076 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1477391076

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

106S00000X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Technician

Box 32 Service Location & ZIP+4

3771 N MISSION RD, ROSEBUSH, MI, 48878-8749

✓ 9-Digit EDI 837 ZIP+4 (48878-8749)

Practice Phone & Referral Fax

(989) 423-7546

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477391076 (MADISON LARSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477391076` (NPI-1 Individual Practitioner)
Provider / Legal Name	MADISON LARSON
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Technician NUCC Code: `106S00000X` (Behavior Technician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3771 N MISSION RD, ROSEBUSH, MI, 48878-8749
Practice Telephone / Fax	Tel: (989) 423-7546
Administrative Mailing Address	2426 PARKWAY DR, MT PLEASANT, MI, 48858-4723
Enumeration & Last Sync	Enumerated: 2024-07-17 \| CMS Record Updated: 2024-07-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3771 N MISSION RD, ROSEBUSH, MI, 48878-8749

🗺️ Open in Google Maps 🏥 More Providers in ROSEBUSH

🔒 Are you MADISON LARSON? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (106S00000X)

What Does Taxonomy Code 106S00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 106S00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Technician"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Technician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MADISON LARSON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`106S00000X` — Behavior Technician Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

MADISON LARSON (NPI #1477391076)