Active NPI
Kyle Buller, LPC
- Professional Counselor
- Greenwood Village, CO
National Provider Identifier
1164210787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0021520
- Practice address
- 5445 DTC Pkwy PH 4
Greenwood Village, CO 80111-3059 - Phone
- (908) 509-1563
- NPI assigned
- Apr 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC.0021520 | CO | Primary |
Addresses
Primary practice location
5445 DTC Pkwy PH 4
Greenwood Village, CO 80111-3059
Mailing address
400 N Park Ave Unit 12B
Breckenridge, CO 80424-8710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0021520 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1164210787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N PARK AVE UNIT 12B",
"city": "BRECKENRIDGE",
"state": "CO",
"postal_code": "804248710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 DTC PKWY PH 4",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801113059",
"telephone_number": "908-509-1563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLER",
"first_name": "KYLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-25",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0021520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.