Individual provider Active NPI

Sacha Lacasse

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1326504630
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1133 N Pennsylvania St
Denver, CO 80203-2502
Phone
(303) 551-0117
Fax
(303) 551-0117
NPI assigned
Feb 12, 2019
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1133 N Pennsylvania St
Denver, CO 80203-2502

Mailing address

1069 Jersey St
Denver, CO 80220-4544
Phone (720) 256-5058

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240802000111 CO Practitioner - Mental Health Counselor 9931431988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revival Therapy Services LLC Professional CurrentSince Jun 20, 2024 Accepting new patients
Revival Therapy Services LLC Mental Health CurrentSince Feb 2, 2025 Accepting new patients
Datg LLC Past Accepting new patients

Locations

1133 N Pennsylvania St
Denver, CO 80203
Phone (303) 551-0117

1133 N Pennsylvania St
Bsmt
Denver, CO 80203

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1326504630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 JERSEY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204544",
            "telephone_number": "720-256-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N PENNSYLVANIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032502",
            "telephone_number": "303-551-0117",
            "fax_number": "303-551-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACASSE",
        "first_name": "SACHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.