Active NPI
Lysandra Presley, LPC
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1386180529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0011686
- Practice address
- 115 S Parkside Dr
Colorado Springs, CO 80910-3130 - Phone
- (719) 572-6100
- NPI assigned
- Jan 11, 2017
- Last updated
- Jan 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0011686 | CO | Primary |
Addresses
Primary practice location
115 S Parkside Dr
Colorado Springs, CO 80910-3130
Mailing address
6238 Dancing Water Dr
Colorado Springs, CO 80911-8339
Other names 1
- Lysandra Cabrera
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 |
|---|---|---|---|
| 0011686 | CO | MD | Rehabilitation Hospital Unit |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1386180529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6238 DANCING WATER DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809118339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S PARKSIDE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103130",
"telephone_number": "719-572-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESLEY",
"first_name": "LYSANDRA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "0011686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYSANDRA",
"last_name": "CABRERA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Colorado Springs, CO
- Preop Assessments
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- Hailey Prescott, CPNP-PC
- Anthony Presicci, MS, D.D.S.
- Jeilyn Presley
- Jennifer Rena Pressey
- Prestige Dental Colorado Springs, PLLC (Prestige Dental Center Colorado Springs)
- Prestige Dental LLC (Prestige Dental Centers)
- Prestige Rehab Colorado
- Prestige Tansportation (prestige transportation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.