IndividualActive
Larisa Southerland, AMFT
NPI 1902771496 · Mental Health Counselor · Fremont, CA
Larisa Southerland, AMFT is a Mental Health Counselor provider in Fremont, CA (NPI 1902771496).
Provider details
- NPI number
- 1902771496
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- AMFT
- Sex
- Female
- Sole proprietor
- No
- License
- 145725 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2450 Peralta Blvd Ste 207
Fremont, CA 94536-3826
Phone: (510) 200-8705
Street-level locationGet directions
Mailing address
Po Box 370272
Las Vegas, NV 89137-0272
Registry dates
- Enumerated
- 2025-10-06
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Frequently asked questions
- What is Larisa Southerland's NPI number?
- Larisa Southerland's National Provider Identifier (NPI) is 1902771496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larisa Southerland's specialty?
- Larisa Southerland is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Larisa Southerland located?
- Larisa Southerland's practice location on file with NPPES is 2450 Peralta Blvd Ste 207, Fremont, CA 94536-3826.
- What is Larisa Southerland's phone number?
- The practice phone number listed in the NPPES registry for Larisa Southerland is (510) 200-8705.
- Is Larisa Southerland's NPI active?
- Yes — Larisa Southerland's NPI (1902771496) is active in the NPPES registry as of the last update on 2025-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.