Kyle J. Lassiter, L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-1449 Issued in CO

Practice address

3225 Independence Rd
Canon City, CO 81212-9380

Phone

(719) 275-2351

Fax

(719) 269-9386

NPI assigned

May 22, 2007

Last updated

Dec 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

West Central Mental Health Center, IncGroup PAC ID 0042102733, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• West Central Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Canon City, CO
  • NPI 1265565824
  Medicare reassignment Care Compare group NPD
• West Central Mental Health Center Inc.

  dba Solvista Health

  • Community/Behavioral Health Agency
  • Canon City, CO
  • NPI 1780432930
  NPD
• El Pueblo Boys' and Girls' Ranch, Inc.

  dba El Pueblo...an Adolescent Treatment Community

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Pueblo, CO
  • NPI 1992858344
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1275743197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 INDEPENDENCE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129380",
            "telephone_number": "719-275-2351",
            "fax_number": "719-269-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 INDEPENDENCE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129380",
            "telephone_number": "719-275-2351",
            "fax_number": "719-269-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSITER",
        "first_name": "KYLE",
        "middle_name": "J.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC-1449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84288035",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James S Lanum, MA MFT LPC
• Brielle M Larsen
• Keith David Larsen
• Kerry K Larson, M.D.
• Anil K Lartius
• Learning Curve, Inc
• Geraldine M Lee, LCSW
• Legacy Center LLC
• Jenny Lehl, LPN
• Charles Lentz, MA, LPC

• Mental Health Counselor in Canon City, CO
• Providers in Canon City, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.