Individual provider · Type 1 NPI
Melody Larsen, LMFT, LCPC
Mental Health Counselor · Portland, OR
NPI number
1891109617
Active
Practice location
5441 S Macadam Ave # 6632
Portland, OR 97239-6106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | BBH-LMFT-LIC-38685 (MT) |
| Mental Health Counselor Primary | 101YM0800X | BBH-LCPC-LIC-38841 (MT) |
Mental Health Counselor: Definition to come...
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About NPI 1891109617
Melody Larsen, LMFT, LCPC's National Provider Identifier is 1891109617, issued on Jun 19, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 7, 2026.