Individual provider Active NPI

Kenny Le, LPC

  • Professional Counselor
  • Northglenn, CO
National Provider Identifier
1104413723
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0020889 Issued in CO
Practice address
10190 Bannock St Ste 120
Northglenn, CO 80260-6052
Phone
(303) 237-6865
NPI assigned
Dec 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0020889 CO Primary

Addresses

Primary practice location

10190 Bannock St Ste 120
Northglenn, CO 80260-6052

Mailing address

10190 Bannock St Ste 120
Northglenn, CO 80260-6052
Phone (303) 237-6865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306001975 CO Practitioner - Mental Health Counselor 6204318355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffith Centers, Inc.Group PAC ID 2163909292, 2 clinicians

Practice addresses (Care Compare)

10190 Bannock St
Suite 120
Northglenn, CO 80260-6052
Phone (720) 230-3437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0020889COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Griffith Centers, Inc. CurrentSince Jan 27, 2026 Accepting new patients
Griffith Centers, Inc. CurrentSince Jan 27, 2026 Accepting new patients

Locations

3400 W 16th St
Ste S
Greeley, CO 80634
Phone (970) 460-8009

10190 Bannock St
Ste 120
Northglenn, CO 80260
Phone (720) 230-3437

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1104413723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10190 BANNOCK ST STE 120",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802606052",
            "telephone_number": "303-237-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 BANNOCK ST STE 120",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802606052",
            "telephone_number": "303-237-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KENNY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0020889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.