Active NPI
Lance La Certe, PSY.D.
- Clinical Psychologist
- Aurora, CO
National Provider Identifier
1215900147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1230
- Practice address
- 2280 S Xanadu Way
Suite 305
Aurora, CO 80014-6544 - Phone
- (303) 369-9024
- Fax
- (303) 369-9024
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1230 | CO | Primary |
Addresses
Primary practice location
2280 S Xanadu Way
Suite 305
Aurora, CO 80014-6544
Mailing address
2280 S Xanadu Way
Suite 305
Aurora, CO 80014-6544
Phone (303) 369-9024
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1230 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lance la Certe, Psy.D.,P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Aurora, CO
- NPI 1760753735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1215900147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 S XANADU WAY",
"address_2": "SUITE 305",
"city": "AURORA",
"state": "CO",
"postal_code": "800146544",
"telephone_number": "303-369-9024",
"fax_number": "303-369-9024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 S XANADU WAY",
"address_2": "SUITE 305",
"city": "AURORA",
"state": "CO",
"postal_code": "800146544",
"telephone_number": "303-369-9024",
"fax_number": "303-369-9024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA CERTE",
"first_name": "LANCE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2010-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.