Individual provider Active NPI

Hayley Layne Lastovica, LPC

  • Professional Counselor
  • Allen, TX
National Provider Identifier
1871282434
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
87265 Issued in TX
Practice address
1772 W McDermott Dr
Allen, TX 75013-3342
Phone
(469) 340-2777
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 87265 TX Primary

Addresses

Primary practice location

1772 W McDermott Dr
Allen, TX 75013-3342

Mailing address

2600 Kinship Pkwy Apt 2307
Celina, TX 75009-2259
Phone (832) 696-3960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240110000266 TX Practitioner - Mental Health Counselor 9830540269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87265TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Shahla Ali MD PA CurrentSince Jan 1, 2024 Accepting new patients
Shahla Ali MD PA Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

1774 W McDermott Dr
Ste 150
Allen, TX 75013
Phone (469) 340-2777

Organizations & group practices 2

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1871282434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 KINSHIP PKWY APT 2307",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750092259",
            "telephone_number": "832-696-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133342",
            "telephone_number": "469-340-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTOVICA",
        "first_name": "HAYLEY",
        "middle_name": "LAYNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.