Lexis Ann Le Bon

Individual provider Active NPI Mental Health Counselor · Berthoud, CO

NPI 1245922699 · NPPES record last updated May 24, 2023

Key facts

NPI
1245922699
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
575 Ranchhand Dr
Berthoud, CO 80513-2700
Phone
(720) 226-4644
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27 White Pine Way
Phenix City, AL 36869-7983

8481 E 33Rd Ave
Denver, CO 80238-3428

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260401001061 CO Practitioner - Mental Health Counselor 3577048172 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Better Life Therapy LLC Single Specialty Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

575 Ranchhand Dr
Berthoud, CO 80513-2700

Mailing address

575 Ranchhand Dr
Berthoud, CO 80513-2700
Phone (720) 226-4644

Other providers in Berthoud, CO

All providers in Berthoud, CO · Mental Health Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.