Active NPI
Daniel J Lebsack, LPC
- Professional Counselor
- Woodland Park, CO
National Provider Identifier
1922586908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14643
- Practice address
- 700 Valley View Dr Unit D
Woodland Park, CO 80863-8000 - Phone
- (719) 290-4393
- NPI assigned
- Aug 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76462 | TX | |
| Professional Counselor | 101YP2500X | 14643 | CO | Primary |
Addresses
Primary practice location
700 Valley View Dr Unit D
Woodland Park, CO 80863-8000
Mailing address
211 Pennsylvania Ave
Woodland Park, CO 80863-8823
Phone (972) 834-0604
Other practice location 1
211 Pennsylvania Ave
Woodland Park, CO 80863-8823
Phone (972) 834-0604
Other practice location 2
2950 Professional Pl Ste 201
Colorado Springs, CO 80904-8106
Phone (719) 290-4393
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14643 | CO | MD | Professional Counselor |
| 76462 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Colorado Counseling | Professional | Current | Accepting new patients |
Locations
700 Valley View Dr
Unit D
Woodland Park, CO 80863
Phone (719) 290-4393
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.
-
- Professional Counselor
- Woodland Park, CO
- NPI 1881385631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1922586908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 PENNSYLVANIA AVE",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808638823",
"telephone_number": "972-834-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 VALLEY VIEW DR UNIT D",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808638000",
"telephone_number": "719-290-4393"
}
],
"practiceLocations": [
{
"address_1": "211 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Woodland Park",
"state": "CO",
"postal_code": "808638823",
"country_code": "US",
"telephone_number": "972-834-0604",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2950 Professional Pl Ste 201",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809048106",
"country_code": "US",
"telephone_number": "719-290-4393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBSACK",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-01",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76462",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "14643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Park, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.