Individual provider Active NPI

Lance La Certe, PSY.D.

  • Clinical Psychologist
  • Aurora, CO
National Provider Identifier
1215900147
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1230 Issued in CO
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

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1230COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lance la Certe, Psy.D.,P.C. Clinical PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.